Resources

Wolf Hybrid Rabies Vaccination Consent Form

OWNER REQUEST FORM FOR RABIES VACCINATION OF
A WILD ANIMAL OR WILD ANIMAL HYBRID.

I request that my ____________________________________ (species), a wild animal or wild animal hybrid, receive an inactivated (killed virus), rabies vaccine.

Animal Name ______________________________________ Age ______ Sex ______

I further acknowledge that I have been advised by the attending veterinarian of the following:

  1. While inactivated rabies vaccines have been proven effective in domestic animals, their effectiveness in wild animals or their hybrids has not been tested, and therefore, is unknown.
  2. Because the effectiveness is unknown, there may still be considerable risk of vaccinated wild animals or their hybrids contracting rabies if exposed (bitten) by a rabid animal.
  3. Because the effectiveness is unknown, there may still be considerable risk to humans who come in contact with vaccinated wild animals or their hybrids that have been exposed to rabies.
  4. Because the effectiveness is unknown, a wild animal or its hybrid that bites a human will be considered non-vaccinated, regardless of its vaccination history. The recommendation in such cases would be to sacrifice the biting animal and examine the brain for rabies.
  5. Because the effectiveness is unknown, a wild animal or its hybrid that bites another animal will be considered non-vaccinated, regardless of its vaccination history. The recommendation in such cases depends on the animal bitten and its vaccination history, but the appropriate action could be to sacrifice the biting animal and examine the brain for rabies.

OWNERS
SIGNATURE                                                                                                                                            

DATE                                                                                     

ADDRESS                                                                                                                                                

WORK PHONE _________________________

HOME PHONE _________________________

© 2017 California Veterinary Medical Association

Need Help With the VACSP Program?

The CVMA is here to assist you during the implementation of the VMB's Veterinary Assistant Controlled Substance Permit Program (VACSP)....

Read More...

In the News

2017 Economic Issues Report

The CVMA is pleased to release the 2017 Economic Issues Report on economic trends affecting the veterinary profession in California....

Read More...

Join the CVMA

As a CVMA member, you’ll have access to outstanding benefits and services.

Discover the benefits of membership »