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UNITED STATES DEPARTMENT OF AGRICULTURE
ANIMAL AND PLANT HEATH INSPECTION SERVICE
ANIMAL CARE
PROGRAM OF VETERINARY CARE
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. 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 optional form or an equivalent format may be used to meet the requirement for a written Program of Veterinary Care. This form may be used as a
guideline for developing and writing the veterinary care plan for your animals.
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
8. EMAIL ADDRESS
7. BUSINESS TELEPHONE
6. BUSINESS TELEPHONE
7. EMAIL ADDRESS
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: __________________________.
C. NOTES:
APHIS FORM 7002
MAR 2019
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SECTION II. DOGS AND CATS
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IF MORE SPACE IS NEEDED, ADDITIONAL PAGES MAY BE ADDED
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. PREVENTATIVE CARE AND TREATMENT (HAIR COATS, NAILS, EYES, EARS, SKIN, AND TEETH)
F. 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
MAR 2019
SECTION III. WILD AND EXOTIC ANIMALS
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IF MORE SPACE IS NEEDED, ADDITIONAL PAGES MAY BE ADDED
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
MAR 2019
SECTION IV. OTHER WARMBLOODED ANIMALS
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IF MORE SPACE IS NEEDED, ADDITIONAL PAGES MAY BE ADDED
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) ________________________________________________________
SECTION V. ATTENDING VETERINARIAN SIGNATURE
The attending veterinarian must sign this Program of Veterinary Care if the animals include dogs or marine mammals.
1. PRINTED NAME
APHIS FORM 7002
MAR 2019
2. SIGNATURE
3. DATE
APHIS Form 7002 Continuation Page
APHIS FORM 7002
MAR 2019
Privacy Act Notice
Authority: The Animal Welfare Act (AWA), 7 U.S.C. 2131 et seq.
Purpose: This system supports APHIS’ administrative activities and enforcement of the AWA.
Routine Uses:
In addition to those disclosures generally permitted under 5 U.S.C. 552a (b) of the Privacy Act, records
maintained in the system may be disclosed outside USDA as follows:
1) Records maintained under the proviso of this authority form an integral support network essential
for the implementation and enforcement of the Animal Welfare Act, including licensing and
registration of individuals, businesses, and research facilities, compliance with regulations and
standards applicable under the Act, and annual reporting requirements of summary data as
required by law.
2) Referral to the appropriate agency whether Federal, State, local or foreign, charged with the
responsibility of investigating or prosecuting a violation of law, or of enforcing or implementing the
statute, rule, regulation or order issued pursuant thereto, of any record within this system when
information available indicates a violation or potential violation of law, whether civil, criminal or
regulatory in nature, and whether arising by general statute or particular program statute, or by
rule, regulation or order issued pursuant thereto.
3) Disclosure to the Department of Justice for use in litigation when the agency, or any component
thereof, or any employee of the agency in his or her official capacity, or any employee of the
agency in his or her individual capacity where the Department of Justice has agreed to represent
the employee, or the United States, where the agency determines that litigation is likely to affect
the agency or any of its components, is a party to litigation or has an interest in such litigation,
and the use of such records by the Department of Justice is deemed by the agency to be relevant
and necessary to the litigation; provided, however, that in each case, the agency determines that
disclosure of the records to the Department of Justice is a use of the information contained in the
records that is compatible with the purpose for which the records were collected.
4) Disclosure in a proceeding before a court or adjudicative body before which the agency is
authorized to appear, when the agency, or any component thereof, of any employee of the
agency in his or her official capacity, or any employee of the agency in his or her individual
capacity where the agency has agreed to represent the employee, or the United States, where
the agency determines that litigation is likely to affect agency or any of its components, is a party
to litigation or has an interest in such litigation, and the agency determines that use of such
records is relevant and necessary to the litigation; provided, however, that in each case, the
agency determines that disclosure of the records to the court is a use of the information contained
in the records that is compatible with the purpose for which the records were collected.
5) Disclosure may be made to a congressional office from the record of an individual in response to
an inquiry from the congressional office made at the request of that individual.
Disclosure: Furnishing this information is voluntary; however, failure to furnish this information may
impede the veterinary care plan for your animal.
APHIS FORM 7002
MAR 2019
File Type | application/pdf |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |