7002 Animal Care (Program of Veterinary Care for Research Fac

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U.S. DEPARTMENT OF AGRICULTURE ANIMAL AND PLANT HEALTH INSPECTION SERVICE Animal care (Program of Veterinary Care for Research Facilities or Exhibitors/Dealers)

Official Use Only

Date received

The Animal Welfare Regulations, The Title 9, Subchapter A, Part II, Subpart C. Section 2.33 and Subpart D. Section 2.40 requires a Program of Veterinary Care.

Section I, A Program of Veterinary Care (PVC) has been established between:

a. licensee/registrant

b. veterinarian

1. Name

1. Name

2. business name

2. clinic

3. USDA License/Registration number

3. state License number

4. Mailing address

4. business address

5. City, Stat and Zip Code

5. City, Stat and Zip Code

6. telephone number (Home)

telephone number (Business)

6. telephone number (Business)

This is a form that may be used for the Program of Veterinary Care. Also this form may be used as a guideline for the written Program of Veterinary Care required. The attending veterinarian shall establish, maintain and supervise programs of disease control and prevention, pest and parasite control, pre-procedural and post-procedural care, nutrition, euthanasia and adequate veterinary care for all animals on the premises of the licensee/registrant. A written program of adequate veterinary care between the licensee/registrant and the doctor of veterinary medicine shall be establishes and reviewed on an annual basis. By law, such programs must include regularly scheduled visits to the premises by the veterinarian. Scheduled visits are required to monitor animal health and husbandry. Pages or blocks which do not apply to the facility should be marked N/A. If space provided is not adequate for a specific topic, additional sheets may be added. Please indicate Section and Item Number. I have read and completed this Program of Veterinary Care, and understand my responsibilities. Regularly scheduled visits by the veterinarian will occur at the following frequency: _________________________________________________ (minimum annual).

c. signature of licensee/registrant

Date

d. Signature of veterinarian

Date

check if n/a section ii. dogs and cats

A. vaccinations – specify the frequency of vaccination for following diseases

Canine

Feline

Parvovirus

Juvenile

Adult

Panleuk

Juvenile

Adult

distemper

Resp. Viruses

Hepatitis

Rabies

Leptospirosis

OTHER (Specify)

Bordetella

OTHER (Specify)

b. parasite control program – describe the frequency of sampling or treatment for the following:

1. ectoparasites (Fleas, Ticks, Mites, Lice, Flies)

blood parasites (Heartworm, Babesia, Ehrlichia, Other)

intestinal parasites (Fecals, Deworming)

c. emergency care – describe provisions for emergency, weekend and holiday care

d. euthanasia

sick, diseases, injured or lame animals shall be provided with veterinary care or euthanized, euthanasia will be in accordance with the avma recommendations and will be carried out by the following: veterinarian Licensee/registrant

method(s) of euthanasia

e. additional programs topics – the following topics have been discussed in the formulation of the program of veterinary care

Congenital Conditions

Exercise Plan (Dogs)

Quarantine Conditions

Proper Handling of Biologics

Nutrition

Venereal Diseases

Anthelmintic Alternation

Pest Control and Product Safety

Other (Specify) _______________________________________________

Proper Use of Analgesics and Sedatives

check if n/a section iIi. Wild and exotic animals

vaccinations – list he diseases for which vaccinations are performed and the frequency of the vaccinations (Enter N/A if not applicable)

Carnivores

Hoofed stock

Primates

Elephants

Marine mammals

Other (Specify)

b. parasite control program – describe the frequency of sampling or treatment for the following:

ectoparasites (Fleas, Ticks, Mites, Lice, Flies)

blood parasites

intestinal parasites

c. emergency care

describe provisions for emergency, weekend and holiday care

describe capture and restraint method(s)

d. euthanasia

sick, diseases, injured or lame animals shall be provided with veterinary care or euthanized, euthanasia will be in accordance with the avma recommendations and will be carried out by the following: veterinarian Licensee/registrant

method(s) of euthanasia

e. additional programs topics – the following topics have been discussed in the formulation of the program of veterinary care

Pest Control and Product Safety

Environment Enhancement (Primates)

Quarantine Procedures

Water Quality (Marine Mammals)

Zoonoses

Species-specific Behaviors

Other (Specify) ______________________________________________

Proper Storage and Handling of Drugs and Biologics

Proper Use of Analgesics and Sedatives

F. list the species Subjected to TB Testing, and the Frequency of Such Test

check if n/a section iv. other warmblooded animals

A. Indicate species

B. Vaccinations – list the diseases for which vaccinations are performed and the frequency of vaccinations (Enter N/A if not applicable)

C. parasite control program – describe the frequency of sampling or treatment for the following:

ectoparasites (Fleas, Ticks, Mites, Lice, Flies)

intestinal parasites (Helminths, Coccidia, Other)

D. emergency care – describe provisions for emergency, weekend and holiday care

E. euthanasia

sick, diseases, injured or lame animals shall be provided with veterinary care or euthanized, euthanasia will be in accordance with the avma recommendations and will be carried out by the following: veterinarian Licensee/registrant

method(s) of euthanasia

e. additional programs topics – the following topics have been discussed in the formulation of the program of veterinary care

Pasteurellosis

Species Separation

Pododermatitis

Malocclusion/Overgrown Incisors

Cannibalism

Pest Control and Product Safety

Wet Tail

Handling

Other (Specify) __________________________________________________________________________________________________________________

APHIS Form 7002 Page 4 of 4

June 2009