Vaccine Clinic Registration Form

 

Thank you for your interest in coming to our vaccination clinic!  This is a registration form for the upcoming vaccination clinics.

PLEASE CHOOSE WHICH VACCINATION CLINIC YOU PLAN ON ATTENDING IN THE DROP DOWN MENU BELOW!

 

This request is for vaccinations at a vaccine clinic and NOT for surgery. For surgery appointment requests please fill out the surgery request form available here.

Please fill out the information below completely so that we can pre-enter you and your pet into our system.  We will add the services requested and will send you a payment request. We encourage you to pay at least 48 hours prior to the vaccine clinic so that we can have everything prepared for you when you get to the clinic.  This will greatly speed up the registration process and allow you to process through the vaccine clinic faster.  Please still expect some wait time as the vaccine clinics tend to be well attended and although we go as fast as possible, there is still a wait.

Our veterinary clinic building is located at 2709 Bragg Blvd, Fayetteville, NC 28303 BUT the Vaccination Clinic is held at an alternate location.

 

Cats must be brought in an individual carrier.  Feral cats will not be seen as they may need to be sedated to receive services.

Dogs must be leashed and contained. Aggressive dogs should be muzzled and properly restrained by the owner.

Tentative Schedule of 2025 Vaccination Clinics:

COMPLETED -February 8th – Hoke County

COMPLETED- March 22nd – Sanford/ Lee County, Carolina Town & Country, 710 E Main St, Sanford, NC 27332

April 12th – Sandhills Dog Fair, Pinehurst, Moore County *CANCELLED*

COMPLETED – Bill Sapp Rec Center, 1100 N Cedar St, Lumberton, NC 28358

September 20th – Sanford/ Lee County, Carolina Town & Country, 710 E Main St, Sanford, NC 27332

 

Please check back frequently as new dates and times will be added

Owner Information

Please read and sign below:

I, as the person with authority to make decisions regarding the above listed pet’s care, hereby authorize the selected services for my pet. 

• I certify that my animal is in good health and not on any medications other than those disclosed.
• I understand the exam performed may be a brief exam to determine if the pet is healthy for vaccines and is not considered a complete physical.
• I understand the inherent risks of failing to maintain current vaccinations and the possibility of vaccine failure. I waive all claims arising out of or connected with the performance of these services or due to such vaccine failure.
• I understand that vaccination reactions can happen and include: facial swelling, hives, reddened skin, itching, excessive swelling/ scratching at the injection site, pain at injection site, excessive drooling, lethargy, decreased appetite, vomiting, diarrhea, anaphylactic shock and / or death. I understand that vaccine and medication reactions are idiosyncratic and cannot be predicted. If there is a vaccine reaction, I authorize SNVC to perform any procedures deemed necessary to treat my pet.
• I understand that feline Feleuk and FIV testing is recommended for kittens and annually afterwards, especially prior to vaccination.
• I understand that heartworm testing is always recommended prior to administration of any heartworm prevention. 
• I understand my medications given may not be in a childproof container.
• I understand that SNVC has the right to refuse service to any animal determined to be ill or at increased risk. Sick animals are at higher risk for complications, as well as pose a risk to other animals in the clinic.
• I understand that if there are complications my pet may need to receive post-operative monitoring or care at an emergency clinic and I accept the financial responsibility for that care if deemed necessary by the veterinarian.
• I understand that photographs may be taken during the day, and my pet may be present in those photos. I understand that the photographs taken at SNVC may be used for promotions and advertisements for SNVC. This includes but is not limited to Facebook, Twitter, SNVC website, advertisements, etc.
• I understand that payment in full is required prior to services being rendered.I understand that all sales are final and no refunds are permitted for services or medications.
• I understand that under no circumstances will the Spay Neuter Veterinary Clinic pay for services received at another veterinary clinic, whether the services are related to a treatment or procedure done at the Spay Neuter Veterinary Clinic or not.

• I will not hold the veterinarian, their employees, volunteers, family members or SNVC responsible for any issues arriving from the procedures performed, such as vaccine or medication adverse events.
• I hereby release the Spay Neuter Veterinary Clinic of the Sandhills, all veterinarians, assistants, volunteers, directors, and employees from any and all claims arising out of or connected with the performance of this procedure or any adverse reactions from vaccinations. I agree that I have not and will not claim any right of compensation from any of the above. I as the owner/agent hereby agrees to hold SNVC unaccountable for any damages caused during the transportation of the animal, while entering or exiting the service location, or for any damages caused by any unforeseeable events including fire, vandalism, burglary, extreme weather, natural disasters or acts of God.
• SNVC does not offer hospitalization, radiology or emergency care. If there are any questions or concerns directly related to the services provided, please call this office at (910)400-7682 and press 3. If there is an emergency after hours, contact your regular emergency veterinarian or contact Points East Veterinary at 910-864-2844.