Free Printable Rabies Vaccination Form RABIES VACCINATION CERTIFICATE NASPHV FORM 51 revised 2007 RABIES TAG Owner s Name Address Print Clearly MICROCHIP LAST FIRST M I TELEPHONE NO STREET CITY STATE ZIP SPECIES AGE SIZE PREDOMINENT BREED PREDOMINANT Dog Months Under 20 lbs COLORS MARKINGS Cat Years 20 50 lbs Ferret SEX Male Over 50 lbs
Record the route by which the vaccine was given as either intramuscular IM subcutaneous Subcut or intranasal NAS and also the site where it was admin istered as either RA right arm LA left arm RT right thigh or LT left thigh Record the publication date of each VIS as well as the date the VIS is given to the patient Clinical Resources A Z Our comprehensive set of printable resources is designed to help healthcare professionals in all aspects of immunization practice Search by topic or filter by audience vaccine disease patient age health condition and more
Free Printable Rabies Vaccination Form
Free Printable Rabies Vaccination Form
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PRINCIPAL PURPOSE S The personal information will facilitate and document your animal s rabies vaccination status ROUTINE USE S Used by veterinarians and other health authorities to request and record the ownership identity and vaccination status of the described animal Rabies is a vaccine preventable zoonotic viral disease affecting the central nervous system Once clinical symptoms appear rabies is virtually 100 fatal In up to 99 of cases domestic dogs are responsible for rabies virus transmission to humans Yet rabies can affect both domestic and wild animals It spreads to people and animals via
1 site IM vaccine administration on days 0 3 7 and the fourth dose between days 14 to 28 2 site IM vaccine administration on day 0 and 1 site IM on days 7 and 21 Changes in rabies vaccine product and or the route of administration during the same PEP course are acceptable if unavoidable to ensure PEP course completion Local jurisdictions may require more frequent rabies vaccination intervals All dogs and cats 12 weeks of age or older that are being transported into Texas must have been vaccinated against rabies and not be overdue Proof of vaccination must be provided via a rabies vaccination certificate or pet passport signed by the attending veterinarian
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AAHA Vaccine Guidelines Website Find out the latest from AAHA on lifestyle vaccines as well as safe vaccine handling and other FAQs in the updated AAHA Canine Vaccination Guidelines learn more AAHA Vaccine Guidelines Calculator Determine vaccination recommendations based on a dog s lifestyle age and other risk factors CERTIFICATE OF EXEMPTION FROM RABIES VACCINATION A copy of this certificate must be provided to the owner of the animal listed above and kept as proof of exemption For dogs this certificate must be presented with an application for a dog license VPH 28 JUL 12
All are free to download print and share in your practice Each printable PDF resource includes in its footer the date it was last reviewed and a QR code that links to the current online version Using the Clinical Resources Library How to Find Your Answer We are temporarily experiencing a technical issue We are working to resolve it Certificate of Free Sale Package Spanish including F L4 and F 12 Forms Updated September 15th 2023 To request supplies of this form please contact the Vaccine Preventable Diseases Program at 609 826 4861 State Sponsored Municipal Rabies Vaccination Clinic Report Updated December 7th 2021 pdf 9k
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https://www.floridahealth.gov/diseases-and-conditions/rabies/_documents/14-rabies-vaccination-certificate.pdf
RABIES VACCINATION CERTIFICATE NASPHV FORM 51 revised 2007 RABIES TAG Owner s Name Address Print Clearly MICROCHIP LAST FIRST M I TELEPHONE NO STREET CITY STATE ZIP SPECIES AGE SIZE PREDOMINENT BREED PREDOMINANT Dog Months Under 20 lbs COLORS MARKINGS Cat Years 20 50 lbs Ferret SEX Male Over 50 lbs
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Record the route by which the vaccine was given as either intramuscular IM subcutaneous Subcut or intranasal NAS and also the site where it was admin istered as either RA right arm LA left arm RT right thigh or LT left thigh Record the publication date of each VIS as well as the date the VIS is given to the patient
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Free Printable Rabies Vaccination Form - Local jurisdictions may require more frequent rabies vaccination intervals All dogs and cats 12 weeks of age or older that are being transported into Texas must have been vaccinated against rabies and not be overdue Proof of vaccination must be provided via a rabies vaccination certificate or pet passport signed by the attending veterinarian
