Dog Proof of Vaccination Form PDF Details

Veterinary clinics sign the vaccination form to confirm the dog has had the required vaccines, including the ones that are officially mandatory like rabies.

After giving the shots, a licensed vet will fill in the form and sign it to confirm the details are right. But be aware, this is not a substitute for an official health certificate or a government-issued rabies certificate.

The form will have the following on it:

• The vet clinic's name and contact details so we know who to go back to if we need to.
• The owner's details because they're responsible for their furry friend.
• Details about the pet, including breed, age, and sex, which helps to confirm who it is.
• The name and dates of the vaccines to show the pet is up to date with all their shots.
• The vet's signature saying they gave the vaccines, and everything on the form is true.

Courts, landlords, boarding places, and pet service providers often rely on this form in any disputes or reviews they have to do. For example, in cases over pet policies, disagreements with boarding kennels, or any liability claims following an incident with a pet, they may ask to see the form. As long as it's up to date, all the sections are filled out right, and the vet's records back up the dog's vaccination history listed on the form, it's usually good to go.

This proof of vaccination form is used by clinics for cats too, and in some places, the same form works for other animals too. Sometimes local regulations may make it necessary to have a vaccination record for pets such as rabbits or exotic animals if they're in shared housing, in a regulated facility, or out in public.

So this form lets owners give proof that their pet has had all their necessary vaccinations by providing an up-to-date record. It also helps vets create clear documentation, which can be a real help for housing, boarding, and health and safety requirements.

QuestionAnswer
Form Name Dog Proof of Vaccination
Form Length 1 page
Fillable? Yes
Fillable fields 53
Avg. time to fill out 10 min
Other names printable pet vaccination record, vaccination records for dogs, pet vaccine record printable, shot records for dogs

Form Preview Example

Name of Clinic Here

Logo Here

Address

(if wanted)

 

Phone

 

PROOF OF VACCINATION FORM

 

 

 

 

 

 

 

 

 

 

 

 

File No.

 

 

 

Pet Owner’s Name:

 

 

 

 

 

 

 

Phone No.:

 

 

 

Pet Owner’s Address:

 

 

 

 

 

 

 

 

 

 

 

 

Pet’s Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Species:

 

 

Dog

Cat

Other

 

Breed:

 

 

 

 

Color:

 

 

Sex:

Male

Female

 

Spayed/Neutered:

Yes

No

DOB:

 

This animal has been vaccinated for:

Dogs:

DHPP

Bordatella

Rabies

Leptosporosis

Lyme

Date:

 

Date Expires:

Date:

 

Date Expires:

Date:

 

Date Expires:

Date:

 

Date Expires:

Date:

 

Date Expires:

Cats:

FVRCP

Rabies

Feline Leukemia.

Date:

 

Date Expires:

Date:

 

Date Expires:

Date:

 

Date Expires:

 

I certify that (pet’s name)

 

is current on the vaccinations checked above.

 

 

 

 

 

 

 

Veterinarian Signature

 

Date

 

 

 

NOTES:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Copyright 2006 Forms in Word (www.formsinword.com). For individual clinic use only.

How to Edit Dog Proof of Vaccination Online for Free

You can use our PDF editor to fill in the dog vaccination form quickly, or download it and fill it out later.

Here are the steps to fill out this template:

1. Veterinary Clinic

First off, fill in the vet clinic's name, address, and phone number at the top of the form. If they've got a logo or a special clinic code (vaccination form file No.), add either of those on too.

2. Pet Owner

Next up, fill in the pet owner's name, phone number, and address. This bit is very important as it shows who the pet belongs to and is often required by landlords, boarding places, etc.

portion of blanks in dog vaccination records

3. Animal Details

Put in the animal's name and choose the correct species (Dog, Cat, or Other). Then fill in the rest of the details - breed, colour, sex, if they've been spayed/neutered, and when they were born.

4. Shot Records

In the vaccination bit, write down each vaccine your pet has had, including:

• When the vet gave the vaccine
• When it runs out

Common entries include DHPP, Bordetella, Rabies vaccination, Leptospirosis, and Lyme - make sure all the dates are right and legible

For cats, you fill in the feline vaccination fields, and for other animals, fill in the required vaccines as per local regulations or the vet's advice.

dog vaccination records Cats, Date FVRCP Rabies Date Feline, Date Expires Date Expires Date, I certify that pets name, is current on the vaccinations, Veterinarian Signature, Date, and Notes blanks to fill

5. Certification and Veterinarian's Signature

A licensed vet has to sign and date the certification bit to say the vaccination record is true.

6. Additional Notes

Vets often use this area to explain a pet's vaccination status or anything else that might be relevant.

Some things they might include are:

• Medical reasons for not giving a certain vaccine - with an explanation of course
• Any reaction to the vaccine, or any sensitivities you've noticed
• Booster schedules or follow-on vaccination advice
• Health conditions or age that might affect how your pet is vaccinated
• Titer test results or alternative vaccination plans
• Any other reasons why your pet might need special treatment, such as a travel requirement, an incomplete vaccination series, or instructions for follow-up appointments.

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