Form APHIS 7002 (propos APHIS 7002 (propos Program of Veterinary Care (proposed)

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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

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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
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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
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disclosure of the records to the Department of Justice is a use of the information contained in the
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4) Disclosure in a proceeding before a court or adjudicative body before which the agency is
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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