Greys and Strays, LLC Alysia Deaven, VMD



Greys and Strays, LLC Alysia Deaven, VMD

2686 S Pine Grove St, Jonestown PA 17038 717-304-9987

Vaccination Clinic Liability Release Form: CANINE

I hereby consent and authorize Greys and Strays and its associates/volunteers to receive, and transport the following animal(s). I will not hold liable or responsible Greys and Strays, its associates or volunteers for any and all claims, liabilities, losses, damages, charges, fees and expenses of every nature and character which I or my animal(s) may sustain or incur by handling, attending, treating, and vaccinating. Greys and Strays is to use all reasonable precautions against injury, escape or death of my pet or stray. Greys and Strays will not be held liable or responsible in any matter in connection therewith as it is thoroughly understood that I assume all risks. Vaccine reactions that occur are usually mild and can include lethargy, soreness, and decreased appetite for about 24 hours. However, severe allergic reactions including anaphylaxis and death, while rare, are possible. Greys and Strays reserves the right to hold or keep any animal for health, safety or treatment reasons in order to protect that animal. I have read the forgoing and agree.

Signature ______________________________________________Date_________________

Print Name__________________________________Phone ( )______________________

Address ____________________________________ City________________Zip__________

EMAIL:__________________________________________________________________

Pet Name____________________Breed_______________________Color_________________

Circle: M or F Circle: Spayed/Neutered or Intact Age/Birthdate:________________WT:____

PLEASE CIRCLE BELOW

VACCINATIONS: We Use Boehringer Ingelheim Vaccines

***FOR SAFETY REASONS SMALL BREED DOGS RECEIVE 1 VACC/VISIT ***

Dogs may be tired, slightly sore, not eat normally for 24 hrs and get a lump at the site of injection

IMRAB RABIES: $25 (Required at 12-16 wks; Revaccinate in 12-14 mos then every 3 years in PA;

we must see certificate proof of a previous vaccination to provide a 3 yr license)

Recombitek DISTEMPER/PARVO: $20 (includes Distemper, Hepatitis, Parainfluenza, Parvovirus (PUPPIES: vaccinate q 4 wks from 8-16 wks (the last vaccine must be given at 16 wks or later for proper immunity); DOGS OVER 16 WKS: Vaccinate twice, 2-4 weeks apart; DOGS OVER 1 YR: only 1 vaccine is needed; Revaccinate in 1 yr, then every 3 yrs;); cannot exceed 6 wks between vaccs

Distemper/adenovirus/parvo/parainflu/ DAPP 3 yr: $25 (this can only be given after previous vaccs-see above)

Recombitek LEPTOSPIROSIS 4: $25 (vaccinate twice, 2-4 wks apart, then yearly; recommended for ALL dogs; Lepto is Zoonotic)

Recombitek LYME: $40 (vaccinate twice, 2-4 wks apart, then yearly; recommended if exposed to ticks, in tick infested areas; dogs that hike, camp, hunt; start after core vaccs; our area is Lyme endemic)

Bordetella/Parainfluenza: $25 (for dogs going to groomers, shows, dog parks, kennels, etc)

Influenza H3N2/H3N8: $50 (vaccinate twice, 3-4 wks apart, then yearly; rec for dogs w/ lots of dog exposure, travel)

FLEA/TICK MEDS: RECOMMENDED MONTHLY YEAR ROUND

NEXGARD (Fleas and Ticks) ORAL MED FOR FLEAS/TICKS-must be 8 wks or older and 4#; cannot admin to dogs with seizures

DEWORMERS: PARASITE PANEL RECOMMENDED FOR ALL

PYRANTEL (Hooks/Rounds): up to 10#: $5 Over 10# is $2/10#: DEWORM PUPS 4 TIMES 2WEEKS APART

DRONTAL PLUS tablet form; (Hooks/Rounds/Whips/All Tapes); DEWORM TWICE 2.5 WKS APART

PANACUR powder given 3 days in a row w/food; (Hooks/Rounds/Whips/Tapes from eating critters); repeat 1 mo

GI PARASITE PCR PANEL $60

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