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According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond
ICR 202607-0579-003 · OMB 0579-0036 · Object 170742700.
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| File Type | application/pdf |
|---|---|
| File Title | According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond |
| Author | Government User |
| Last Modified By | Acrobat PDFMaker 18 for Word |
| File Modified | 2023-03-01 |
| File Created | 2022-09-08 |
| Conversion State | complete |
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Clear Form According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. The valid OMB control numbers for this information collection are 0579-0036 and 0579-0486. The time required to complete this information collection is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. OMB APPROVED 0579-0036, 0579-0486 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 have the authority and 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 established. By law, such programs must include regularly scheduled visits to the premises by the veterinarian. Scheduled visits and daily observations 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. PAGE 1 of SECTION I. PROGRAM ESTABLISHMENT Licensee/Registrant Veterinarian Name Name Business Name Clinic Name USDA License/Registration Number State License Number Mailing Address Business Address City, State, and Zip Code City, State, and Zip Code Home Telephone Business Telephone Business Telephone Email Address Email Address Emergency Care - Describe provisions for emergency, weekend, and holiday care: The veterinarian will conduct regular visits to all premises where animals are kept to assess and ensure the adequacy of veterinary care and other aspects of animal care and use at the following frequency (REQUIRED FOR DOGS: not less than once every 12 months): Physical examinations will be performed at the following frequency (REQUIRED FOR DOGS: Hands-on physical exam at least once every 12 months; REQUIRED FOR MARINE MAMMALS: Visual exam at least once every 6 months; CETACEANS & SIRENIANS require physical exam at least once every 12 months): SECTION II. ATTENDING VETERINARIAN SIGNATURE (REQUIRED FOR DOGS) I have read and completed this Program of Veterinary Care and understand my responsibilities as an attending veterinarian. (9 CFR § 1.1) Printed Name APHIS FORM 7002 FEB 2023 Signature Date PAGE SECTION III. COVERED SPECIES 2 of List all species for which this document applies: SECTION IV. VACCINATIONS List the species, disease, and frequency of vaccinations, for example, 2 doses 4 weeks apart or annually. More space is on page 4; if needed, attach additional pages. INITIAL SERIES SPECIES DISEASE/PRODUCT BOOSTER Dogs (REQUIRED) Rabies Dogs (REQUIRED) Parvovirus Dogs (REQUIRED) Distemper SECTION V. DISEASE SURVEILLANCE & TESTING Check if not applicable List species with regular disease surveillance (e.g., Tuberculosis, Brucellosis), the method and frequency of testing. More space is on page 4; if needed, attach additional pages. SPECIES DISEASE METHOD (blood, skin test) FREQUENCY SECTION VI. PARASITES List the species and frequency of sampling and treatment for the types of parasites listed below. If more space is needed, attach additional pages. REQUIRED FOR DOGS (ADULTS AND PUPPIES): schedule for sampling and treatment of fleas, heartworm, and intestinal parasites such as worms, Coccidia, and Giardia. SPECIES PARASITE TYPE FREQUENCY OF SAMPLING e.g., 10% monthly TREATMENT(S) List all products, doses, & frequencies Ectoparasites (fleas, ticks, mites, lice, flies) Blood Parasites (heartworm, Babesia, Ehrlichia, other) Intestinal Parasites (fecals, deworming) SECTION VII. GROOMING & PREVENTIVE CARE List the types and frequencies of preventive care and treatments for the categories below. REQUIRED FOR DOGS: A schedule for care and treatment to ensure healthy and unmatted hair coats, properly trimmed nails, clean & healthy eyes, ears, skin, and teeth. More space is on page 4; if needed, attach additional pages. GROOMING CATEGORY SCHEDULE (e.g., monthly or every 6 months) TREATMENT(S) List all procedures, products, or tools used Hair Coat / Feathers Nails / Hooves / Feet Dental / Beak Care Eyes & Ears Skin Other: SECTION VIII. NUTRITION List nutritional requirements, specific diets, vitamins, or supplements for the categories of animals below. More space is on page 4; if needed, attach additional pages. Neonates / Young Healthy / Maintenance Breeding / Nursing Geriatric / Special Needs Other: APHIS FORM 7002 FEB 2023 Check if not applicable SECTION IX. NEONATAL CARE / HAND REARING PAGE 3 of List any special instructions for the care and handling of neonatal young, especially in the case of hand rearing. More space is on page 4; if needed, attach additional pages. SECTION X. ENRICHMENT, SPACE, EXERCISE Describe measures to provide environmental enhancement, behavioral enrichment, socialization, and other means to promote species-typical behaviors and psychological well-being. SEPERATE PLAN REQUIRED FOR NONHUMAN PRIMATES & BIRDS: optional forms are available to document Environment Enhancement Programs. List considerations for species compatibility, stocking density, or other means to provide enough space for animals to exercise and make normal postural adjustments. SEPERATE PLAN REQUIRED FOR DOGS: optional APHIS Form 7013 Canine Exercise Plan is available. More space is on page 4; if needed, attach additional pages. SECTION XI. TREATMENTS FOR DISEASES & INJURIES Sick, diseased, injured, or lame animals shall be provided with appropriate veterinary care or euthanized. Licensees and registrants, in consultation with their attending veterinarians, can use appropriate methods to treat diseases and injuries. List medications authorized, their indications (e.g., as an anesthetic or to treat an infection) and instructions for use, including dose, route (e.g, oral, intravenous, into muscle, under the skin) and frequency. More space is on page 4; if needed, attach additional pages. INDICATION/SPECIES MEDICATION NAME DOSE (per unit body weight) ROUTE FREQUENCY/DURATION COMMENTS/REVERSAL Describe applicable capture, restraint, or other handling methods to be used in the course of prevention, control, diagnosis, or treatment of diseases and injuries: Check if not applicable List other medical procedures (e.g., blood collection, tail docking/dewclaw removal, blood feather removal, crop flushing, dehorning) the licensee/registrant is authorized and has demonstrated proficiency to perform. Include instructions for the procedures along with preprocedural and post-procedural care, describe training, or other comments. More space is on page 4; if needed, attach additional pages. EUTHANASIA Licensees and registrants, in consultation with their attending veterinarians, can use methods of euthanasia that meet the definition of "euthanasia" in the Animal Welfare Act Regulations, which allow for the use of humane methods that either: o Produce rapid unconsciousness and subsequent death without evidence of pain or distress, OR o Use 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 Check if not applicable Describe method(s) of euthanasia the licensee/registrant is authorized and has demonstrated proficiency to perform including instructions, drugs or anesthetics to be used, routes, dosages, and other details, training, or comments. More space is on page 4; if needed, attach additional pages. APHIS FORM 7002 FEB 2023 E. ADDITIONAL PROGRAM TOPICS – THE FOLLOWING TOPICS HAVE BEEN DISCUSSED IN THE FORMULATION OF THE PROGRAM OF VETERINARY CARE: SECTION XII. TRANSPORTATION Check if not applicable PAGE 4 of Specify considerations such as temperature, ventilation, space, any sedatives or medications, or other means to ensure the health and well-being of animals during transport: SECTION XIII. BIOSECURITY Describe measures to prevent the introduction or to control spread of disease among animals at the facility. These may include, but not be limited to, quarantine/isolation, sanitization, pest control, use of personal protective equipment (PPE), and other infection control measures. Consider also listing zoonotic disease risks. SECTION XIV. WATER QUALITY List specific instructions for water quality standards, treatments, sampling & testing procedures, or other measures to ensure water supports health and well-being: SECTION XV. OTHER TOPICS Provide any additional information on topics not covered elsewhere on this form: Species-Specific Diseases (pododermatitis, wet tail, etc.): Species-Specific Behavioral Concerns: Population Management / Genetics: Reproductive Husbandry: Necessary Facility, Personnel, Equipment, and Services Other Topics: ADDITIONAL VACCINES SPECIES DISEASE INITIAL SERIES BOOSTER ADDITIONAL TREATMENTS MEDICATION NAME INDICATION/SPECIES DOSE (per unit body weight) ROUTE ADDITIONAL INFORMATION APHIS FORM 7002 FEB 2023 FREQUENCY COMMENTS/REVERSAL