Dog Vaccines

Time

Hour Minutes

AM/PM Option

Vehicle Make/color

New or Existing Client

ExistingNew

Required General Health questions, Please check if the answer is YES.

Is your pet pregnant?Is your pet anxious or will bite?Is your pet ill, coughing, sneezing, vomiting, diarrhea?Does your pet have vaccine reactions?

I certify that my pet is healthy, eating and drinking in the past 7 days.*

Last*

First*

Home Address*

Street Address

CityState

Zip Code

Home Phone

Cell Phone*

ACCURATE EMAIL REQUIRED to email your Rabies and Vaccine Certificates within THREE business days*

example@example.com

Pet's Name*

Color*

Breed*

Sex*

Birthdate*

Age of pet

Choose your vaccine by checking the box on the left.

Bordetella Adult Annual

Kennel cough vaccine, often required by groomers and boarding facilities. Single Dose, Annual Booster. Minimum 12 weeks of age.

$26.00 Quantity

DAPPv+Cv Adult Annual

Canine Distemper, Adenovirus Type 2, Parainfluenza, Parvovirus, Coronavirus. Annual Booster.

$28.00 Quantity

Deworm Adult Annual

Basic Broad spectrum for round, hook, whipworms. NOT FOR TAPE WORMS (must be treated by appointment inside).

$26.00 Quantity

Influenza Adult Annual

Canine Influenza is spread by Dog to Dog contact, often required by groomers and boarding facilities. It is given in 2 Doses initially, Annual Booster. Minimum 12 weeks of age.

$35.00 QuantitySeries Details

Lyme Adult Annual

Tick Born Disease, can be spread to Humans. 2 Doses initially required. Annual Booster. Minimum 12 weeks of age.

$35.00 Quantity

Rabies (1 Year) - Pet is receiving first Rabies vaccine in their lifetime.

Dog minimum 16 weeks or dog not previously vaccinated for Rabies. Required for licensing in our area.

$10.00 Quantity

Rabies (3 Year) - Pet has received at least one prior Rabies vaccine in their lifetime.

Dog previously vaccinated for Rabies. Required for licensing in our area.

$10.00 Quantity

Rattlesnake Initial Dose - Pet is receiving first Rattlesnake vaccine in their lifetime.

Dog minimum 16 weeks or dog not previously vaccinated for Rattlesnake. Helps increase chance of survival.

$30.00 Quantity

Rattlesnake Adult Annual - Pet has received at least one prior Rattlesnake vaccine in their lifetime.

Helps increase chance of survival. Annual Booster.

$30.00 Quantity

Puppy Bordetella Annual

Kennel cough vaccine, often required by groomers and boarding facilities. Single Dose, Annual Booster. Minimum 12 weeks of age.

$26.00 Quantity

Puppy Influenza Series

Canine Influenza is spread by Dog to Dog contact, often required by groomers and boarding facilities. It is given in 2 Doses initially, Annual Booster. Minimum 12 weeks of age.

$35.00 QuantitySeries Details

Puppy Parvovirus ONLY

For puppies 6-7 weeks.

$20.00 Quantity

Puppy Deworm Series

Basic Broad spectrum for round, hook, whipworms, NOT FOR TAPE WORMS (must be treated by appointment inside). For puppies ONLY, every 3 weeks, aged 8-20 weeks.

$26.00 QuantitySeries Details

Puppy DAPPv+Cv Series

Canine Distemper, Adenovirus Type 2, Parainfluenza, Parvovirus, Coronavirus. For puppies ONLY, every 3 weeks, aged 8-20 weeks.

$28.00 QuantitySeries Details

Puppy Lyme Initial Dose

Tick Born Disease, can be spread to Humans. 2 Doses initially required. Annual Booster. Minimum 12 weeks of age.

$35.00 Quantity

Puppy Lyme Annual Dose

Tick Born Disease, can be spread to Humans. 2 Doses initially required. Annual Booster. Minimum 12 weeks of age.

$35.00 Quantity

Puppy Rattlesnake Initial Dose - Pet is receiving first Rattlesnake vaccine in their lifetime.

Dog minimum 16 weeks or not previously vaccinated for Rattlesnake. 2 Doses initially required: Initial + Annual Booster. Minimum 16 weeks.

$30.00 Quantity

Puppy Rattlesnake Annual (1 Year) - Pet has received first Rattlesnake vaccine.

Helps increase chance of survival. Initial + Annual Booster. Minimum 16 weeks.

$30.00 Quantity

Microchip

Microchip and ONLINE REGISTRATION INCLUDED. DO NOT REGISTER THIS CHIP YOURSELF.

$55.00

Total

$0.00

Payment Type

Credit/DebitCashCare Credit

Please upload any available Vaccine records and a profile pic of your pet.

Cashier Name

Status

PaidNot Complete

Office Use only

Rabies Tag #

Comments

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