Get Va Vdh Request For Rabies Vaccination Exemption For Licensing And Inspection Purposes 2015

This guide provides comprehensive instructions for completing the VA VDH Request for Rabies Vaccination Exemption form online. By following these steps, you can ensure that the form is filled out accurately and submitted correctly.

Follow the steps to successfully complete the form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill out the Veterinarian Information section. Provide the veterinarian's name, Virginia license number, address, city, state, zip code, practice name, practice address, city, and contact details such as phone and fax number.
3. Complete the Patient Information section. Enter the patient's name, age, species (feline or canine), breed, sex (male or female), reproductive status (spayed, neutered, or intact), and date of birth.
4. In the Owner Information section, include the owner's name, phone number, and address details.
5. Provide the Medical History of the Animal by describing the reason for requesting the exemption, any pre-existing conditions, the date(s) of diagnosis, and any clinical signs observed.
6. In the Rabies Vaccination History section, list all previous rabies vaccinations given. Specify the date(s) of vaccination, type(s) of vaccine administered, and the manufacturer(s) of the vaccine.
7. Review the Owner Education questions carefully and indicate whether the owner has been informed about the exemption's implications regarding rabies exposure, movement restrictions, and acceptance of the exemption certificate by various facilities.
8. Ensure that the veterinarian signs and dates the form, affirming the review of the Owner Education section with the owner.
9. Have the owner sign and date the form, indicating their understanding of the information presented in the Owner Education section.
10. After completing the form, save any changes made, and download or print the document as necessary. Ensure it is submitted to the local health department as directed.

Complete the VA VDH Request for Rabies Vaccination Exemption online today to ensure your pet is properly documented.