Community Vaccinator Application

Please note that this application must be completed by the Sponsoring Veterinarian.

The Veterinarian applying must have already been approved to serve as a Sponsoring Veterinarian (application available at https://form.jotform.com/240514964772058).

As per the MVMA General By-Law No 1. and the Designated Vaccinator Education Policy, as passed by the MVMA Council, each sponsoring veterinarian is required to ensure that each Community Vaccinator that they supervise meets the educational requirements.

I confirm that if {name34} is approved to serve as a Community Vaccinator, I will ensure that {name34} obtains the education required under the Community Vaccinator Education Policy (hyperlink to policy).

Further, I confirm that as per the Community Vaccinator Education Policy (hyperlink to policy), I will maintain a record of {name34}'s training and will provide a copy of the record to the Registrar upon request. A template training record document can be found on the MVMA website.

Manitoba Community Vaccinator Program

Sponsoring Veterinarians must ensure that:

1) The Community Vaccinator is properly oriented to their role, including but not limited to:

A Community Vaccinator may engage in the practice of veterinary medicine solely to meet the veterinary service needs of underserved populations under the following conditions:
(a) The Community Vaccinator practice solely under direct or indirect supervision
the Sponsoring Veterinarian
(b) The Community Vaccinator, at the discretion of the Sponsoring Veterinarian, may engage exclusively in the following practices of veterinary medicine for canine
and feline patients by:

a. Administering rabies vaccine

b. Administering feline viral Rhinotracheitis-Calicivirus-Panleukopenia +/- Chlamydia vaccine (FVRCP vaccine)

c. Administering canine Distemper-Andenovirus2-Parainfluenza-Parvovirus
vaccine (DA2PP vaccine)

d. Administering non-prescription deworming medication

e. Administering microchips

f. Administering over-the-counter (OTC) medication

(c) The Community Vaccinator may solely engage in the practice of veterinary
medicine on First Nations reserve land or north of the 53rd parallel.
(d) The Community Vaccinator may provide service on or after June 1, 2024.

2) Services provided by the Community Vaccinator are provided without the establishment of a VCPR. Veterinary medical service provided by the Community Vaccinator is exempt from the requirement to establish a VCPR.

3) They fully comply with their obligations as the Sponsoring Veterinarian:

The Sponsoring Veterinarian must:
(a) Ensure that the Community Vaccinator meets the educational requirements that the council may, by resolution, set from time to time.
(b) Provide appropriate equipment to ensure that the Community Vaccinator can safely provide veterinary service.
(c) Ensure that an appropriate inventory management system is in place.
(d) Provide public health with requested vaccine records within 24 hours of the
request.
(e) Be available by telephone when each vaccine administration occurs.
(f) Provide information on each vaccine administered by the Community Vaccinator on an annual basis on a form prescribed by the Registrar.
(g) Ensure that the products provided to the Community Vaccinator by the
Sponsoring Veterinarian are practically retrievable in the event that the Community Vaccinator is no longer supervised by the Sponsoring Veterinarian.

4) The animal owner provides informed consent, specifically:

Each client that receives service from a Community Vaccinator must be informed and consent to the following:

(a) Limited Access Service

a. If the Community Vaccinator is not a veterinary professional, the client must be advised that the Community Vaccinator is not a veterinary professional and that they are not licensed or registered with a professional regulatory body.

b. No examination is being done to attest to the health of the animal, and so no health certificate will be produced.

(b) Adverse Reactions

a. Vaccination is being performed at a location that is not a veterinary office or animal hospital, and the Community vaccinator administering the
vaccination will not be able to perform any immediate medical treatments
that my animal may require.

(c) Vaccine Certificates

a. Vaccine certificates are not intended for travel use and may not be accepted at international borders.

(d) Information Sharing

a. Information on an animal’s vaccination status may be shared during dog-bite investigations done by Public Health and Manitoba Rabies Central.

b. Information may be shared with the Chief and Council.

c. De-identified information may be used for research and publications about the program.

5) Each Community Vaccinator Client is provided with the following information:

(a) The Community Vaccinator’s name and contact information
(b) The Sponsoring Veterinarian’s name and contact information
(c) An emergency plan in the event of an adverse reaction

More information about the Manitoba Community Vaccinator Program can be located on the MVMA website at https://www.mvma.ca/lavp/.

To confirm, once you submit your application:

1) The application will be reviewed by MVMA Staff. You will receive an email confirming the application decision within 5 business days.

2) Once your application has been approved, you may supervise the Community Vaccinator in the provision of compliant services.

3) Each year, you will need to submit information about the service provided through each Community Vaccinator and complete a renewal form.

Each year at renewal, the Sponsoring Veterinarian must provide the following information for each vaccine administered from November 1st  of the previous year to October 31st of the current year:

-          Community where vaccine was administered

-          Date vaccine(s) administered)

-          Name of animal owner or Animal Owner ID

-          Name of animal or animal ID

-          Amount and type of vaccine administered

For convenience, the page entitled Vaccine Usage from the Sample Vaccination Inventory Tracking document (available for download on the MVMA Website) can be used to easily track and provide this information annually.

I confirm {name34} has given me persmission to submit this application.

I confirm that I understand that the MVMA Registrar will publish {name34}'s name and contact information as a result of participating in this program. I confirm that I have informed {name34} of this and that they have given consent for their information to be published.