Rabies vaccine exemption form. Medical condition precluding immunization/re-immunization.
- Rabies vaccine exemption form. . Complete BOTH Canine Rabies Vaccination Exemption Request forms AND submit with up to 5 pages of medical records documenting the dog’s medical condition related to the request. DURATION OF EXEMPTION FROM IMMUNIZATION/RE-IMMUNIZATION (check one) Exempted until __________ / _____ / __________ mm dd yyyy. Medical condition precluding immunization/re-immunization. Exemption from rabies vaccination does not exempt the animal from other laws related to rabies. Prevent the animal from coming into contact with suspect rabid animals such as raccoons, skunks, foxes, groundhogs, bats and free-roaming cats. Canine rabies vaccination exemption requests must be submitted by the veterinarian, not the dog owner. Incomplete submissions will be automatically denied. Date of assessment: __________ / _____ / __________ mm dd yyyy. If adequate steps can be taken to minimize the chance of exposure to rabies virus, the AVMA supports such animals being granted a waiver from mandatory rabies vaccination, upon recommendation of a licensed veterinarian and with the concurrence of the appropriate veterinary public health authorities. A complete exemption request includes BOTH forms (pg 28-29), dog owner’s signature, veterinarian’s signature AND up to 5 pages of medical records documenting the dog’s medical condition related to the request. If adequate steps can be taken to minimize the chance of exposure to rabies virus, the AVMA supports such animals being granted a waiver from mandatory rabies vaccination, upon recommendation of a licensed veterinarian and with the concurrence of the appropriate veterinary public health authorities. Examples include serious immune mediated disease (MHA), conditions requiring immune-suppressive therapy ( cancer treatment), or previously documented serious adverse reactions to rabies vaccinations. Rabies vaccination exemptions will only be approved for serious medical conditions. Exemptions will not be approved in ASSESSMENT INFORMATION. By signing below, the pet owner understands that waiving the rabies vaccination due to the pet’s health does not exempt him/her from being required to purchase a Broward County registration tag for their pet. assa hgclw lsmbujo xsut oqdrh zvm izkyi uhysb souf ocryj
