APHIS 7002 Animal Care - Program of Veterinary Care for Research Fa

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0579-0036
Exp.: 10/31/2018
FOR OFFICE USE ONLY

UNITED STATES DEPARTMENT OF AGRICULTURE
ANIMAL AND PLANT HEATH INSPECTION SERVICE
ANIMAL CARE

DATE RECEIVED:

PROGRAM OF VETERINARY CARE
FOR RESEARCH FACILITIES OR EXHIBITORS/DEALERS
INSTRUCTIONS
For use of this form, see 9 CFR 2.40 (Animal Welfare Regulations, Title 9, Subchapter A, Part III, Subpart D, Section 2.40)
The attending veterinarian shall establish, maintain, and supervise programs of disease control and prevention, pest and parasite control, preprocedural 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 established 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.
This form may be used to meet the requirement for a written Program of Veterinary Care. Use of this form is voluntary and alternatively, it may be used
as a guideline for developing and writing the plan for your activity.
Pages or blocks which do not apply to the facility should be marked N/A. If the space provided is not adequate for a specific topic, additional sheets
may be added. Ensure the additional sheets include Section and Item Numbers.
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SECTION I. PROGRAM ESTABLISHMENT
A. LICENSEE/REGISTRANT

B. VETERINARIAN

1. NAME

1. NAME

2. BUSINESS NAME

2. CLINIC NAME

3. USDA LICENSE/REGISTRATION NUMBER

3. STATE LICENSE NUMBER

4. STREET MAILING ADDRESS

4. BUSINESS ADDRESS

5. CITY, STATE, AND ZIP CODE

5. CITY, STATE, AND ZIP CODE

6. HOME TELEPHONE

7. BUSINESS TELEPHONE

6. BUSINESS TELEPHONE

We have read and completed this Program of Veterinary Care and understand our responsibilities.
Regularly scheduled visits by the veterinarian will occur at the following frequency: __________________________ (minimum is annual)
C. PRINTED NAME AND SIGNATURE OF LICENSEE/REGISTRANT

DATE

D. PRINTED NAME AND SIGNATURE OF VETERINARIAN

DATE

APHIS FORM 7002
NOV 2017

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SECTION II. DOGS AND CATS

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A. VACCINATIONS – SPECIFY THE FREQUENCY OF VACCINATION FOR THE FOLLOWING DISEASES
CANINE

FELINE
JUVENILE

ADULT

JUVENILE

PARVOVIRUS

PANLEUK

DISTEMPER

RESP. VIRUSES

HEPATITIS

RABIES

LEPTOSPIROSIS

OTHER (specify)

ADULT

RABIES
BORDETELLA
OTHER (specify)
B. PARASITE CONTROL PROGRAM – DESCRIBE THE FREQUENCY OF SAMPLING OR TREATMENT FOR THE FOLLOWING
1. ECTOPARASITES (fleas, ticks, mites, lice, flies)

2. BLOOD PARASITES (heartworm, Babesia, Ehrlichia, other)

3. INTESTINAL PARASITES (fecals, deworming)

C. EMERGENCY CARE – DESCRIBE PROVISIONS FOR EMERGENCY, WEEKEND, AND HOLIDAY CARE

D. EUTHANASIA
1. SICK, DISEASED, INJURED, OR LAME ANIMALS SHALL BE PROVIDED WITH VETERINARY CARE OR EUTHANIZED. LICENSEES AND REGISTRANTS, IN
CONSULTATION WITH THEIR ATTENDING VETERINARIANS, CAN USE METHODS OF EUTHANASIA THAT MEET THE DEFINITION OF EUTHANASIA IN THE ANIMAL
WELFARE REGULATIONS, WHICH ALLOWS FOR THE USE OF HUMANE METHODS THAT EITHER:
o
PRODUCE RAPID UNCONSCIOUSNESS AND SUBSEQUENT DEATH WITHOUT EVIDENCE OF PAIN OR DISTRESS, OR
o
UTILIZE ANESTHESIA PRODUCED BY AN AGENT THAT CAUSES PAINLESS LOSS OF CONSCIOUSNESS AND SUBSEQUENT DEATH.
APPROPRIATE METHODS MAY INCLUDE, BUT ARE NOT LIMITED TO, THOSE DESCRIBED IN THE “AVMA GUIDELINES FOR EUTHANASIA OF ANIMALS”.
EUTHANASIA WILL BE CARRIED OUT BY THE:

VETERINARIAN

LICENSEE/REGISTRANT

2. METHOD(S) OF EUTHANASIA

E. ADDITIONAL PROGRAM 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

APHIS FORM 7002
NOV 2017

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SECTION III. WILD AND EXOTIC ANIMALS

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A. VACCINATIONS – LIST THE 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
1. ECTOPARASITES (fleas, ticks, mites, lice, flies)

2. BLOOD PARASITES

3. INTESTINAL PARASITES

C. EMERGENCY CARE
1. DESCRIBE PROVISIONS FOR EMERGENCY, WEEKEND, AND HOLIDAY CARE

2. DESCRIBE CAPTURE AND RESTRAINT METHOD(S)

D. EUTHANASIA
1. SICK, DISEASED, INJURED, OR LAME ANIMALS SHALL BE PROVIDED WITH VETERINARY CARE OR EUTHANIZED. LICENSEES AND REGISTRANTS, IN
CONSULTATION WITH THEIR ATTENDING VETERINARIANS, CAN USE METHODS OF EUTHANASIA THAT MEET THE DEFINITION OF EUTHANASIA IN THE ANIMAL
WELFARE REGULATIONS, WHICH ALLOWS FOR THE USE OF HUMANE METHODS THAT EITHER:
o
PRODUCE RAPID UNCONSCIOUSNESS AND SUBSEQUENT DEATH WITHOUT EVIDENCE OF PAIN OR DISTRESS, OR
o
UTILIZE ANESTHESIA PRODUCED BY AN AGENT THAT CAUSES PAINLESS LOSS OF CONSCIOUSNESS AND SUBSEQUENT DEATH.
APPROPRIATE METHODS MAY INCLUDE, BUT ARE NOT LIMITED TO, THOSE DESCRIBED IN THE “AVMA GUIDELINES FOR EUTHANASIA OF ANIMALS”.
EUTHANASIA WILL BE CARRIED OUT BY THE:

VETERINARIAN

LICENSEE/REGISTRANT

2. METHOD(S) OF EUTHANASIA

E. ADDITIONAL PROGRAM 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 TUBERCULOSIS TESTING AND THE FREQUENCY OF SUCH TESTS

APHIS FORM 7002
NOV 2017

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SECTION IV. OTHER WARMBLOODED ANIMALS

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A. INDICATE SPECIES

B. VACCINATIONS – LIST THE DISEASES FOR WHICH VACCINATIONS ARE PERFORMED AND THE FREQUENCY (enter N/A if not applicable)

C. PARASITE CONTROL PROGRAM – DESCRIBE THE FREQUENCY OF SAMPLING OR TREATMENT FOR THE FOLLOWING
1. ECTOPARASITES (fleas, ticks, mites, lice, flies)

2. INTERNAL PARASITES (Helminths, Coccidia, other)

D. EMERGENCY CARE – DESCRIBE PROVISIONS FOR EMERGENCY, WEEKEND, AND HOLIDAY CARE

E. EUTHANASIA
1. SICK, DISEASED, INJURED, OR LAME ANIMALS SHALL BE PROVIDED WITH VETERINARY CARE OR EUTHANIZED. LICENSEES AND REGISTRANTS, IN
CONSULTATION WITH THEIR ATTENDING VETERINARIANS, CAN USE METHODS OF EUTHANASIA THAT MEET THE DEFINITION OF EUTHANASIA IN THE
ANIMAL WELFARE REGULATIONS, WHICH ALLOWS FOR THE USE OF HUMANE METHODS THAT EITHER:
o
PRODUCE RAPID UNCONSCIOUSNESS AND SUBSEQUENT DEATH WITHOUT EVIDENCE OF PAIN OR DISTRESS, OR
o
UTILIZE ANESTHESIA PRODUCED BY AN AGENT THAT CAUSES PAINLESS LOSS OF CONSCIOUSNESS AND SUBSEQUENT DEATH.
APPROPRIATE METHODS MAY INCLUDE, BUT ARE NOT LIMITED TO, THOSE DESCRIBED IN THE “AVMA GUIDELINES FOR EUTHANASIA OF ANIMALS”.
EUTHANASIA WILL BE CARRIED OUT BY THE:

VETERINARIAN

LICENSEE/REGISTRANT

2. METHOD(S) OF EUTHANASIA

F. ADDITIONAL PROGRAM 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
NOV 2017