Animal Hospital of Largo Low Cost Vaccine Clinic
727-595-2287
Ahlargo.com
Owner (Last, First): _________________________________________ Phone Number: (____) _________-_________
Address: ___________________________________ City: _____________________ ST: _____ Zip: ______________
Pet Name: ________________________ Age: ________ Sex (Circle): Male Female Neutered/Spayed: □YES □NO Breed: __________________ Color: _________________ Weight: _________lbs
E-mail for patient reminders: __________________________________________________________
Has the above pet ever had a reaction to any vaccinations or medications □NO □YES: ___________________________
If history of vaccine reaction, would you like a pre-vaccination injection to reduce the risk of reaction?
Cost $20.00 additional □NO □YES
-We have the right to refuse any services to pets that are too fractious and/or aggressive-
*** All cats in carriers***
Please initial all services you would like today:
Kitten
Initial
|
Package Name
|
Rabies
|
Fel-O-Vax PCT+ CaliciVax
**2 booster series given 3-4 weeks apart**
|
Intestinal Parasite check
|
Roundworm
and Hookworm Deworming
|
Package Price
|
Package Savings
|
|
6-8 weeks of age Kitten Vaccines
|
--------
|
Yes
|
Yes
|
Yes
|
$30.00
|
$11
|
|
9-12 weeks of age Kitten Vaccines
|
--------
|
Yes
|
Yes
|
Yes
|
$30.00
|
$11
|
|
15 weeks and over of age Kitten Vaccines
|
Yes
|
Yes
|
--------
|
---------
|
$30.00 (+$20 for county licensing)
|
$5
|
Adult Feline Packages:
Initial
|
Package Name
|
Rabies
|
Fel-O-Vax PCT+ CaliciVax
|
Leukemia
|
Intestinal Parasite check
|
Package Price
|
Package Savings
|
|
Bronze
|
--------
|
Yes
|
--------
|
Yes
|
$30.00
|
$4.00
|
|
Silver w/ 1 Year Rabies
|
Yes
|
Yes
|
Yes
|
--------
|
$50.00 (+$20 for county licensing)
|
$7.00
|
|
Silver w/ 3 Year Rabies
|
Yes
|
Yes
|
Yes
|
-------
|
$53.00 (+$20 for county licensing)
|
$8.00
|
|
Gold w/ 1 Year Rabies
|
Yes
|
Yes
|
--------
|
Yes
|
$ 45.00 (+$20 for county licensing)
|
$5.00
|
|
Gold w/ 3Year Rabies
|
Yes
|
Yes
|
--------
|
Yes
|
$48.00 (+$20 for county licensing)
|
$6.00
|
|
Platinum w/ 1 Year Rabies
|
Yes
|
Yes
|
Yes
|
Yes
|
$62.00 (+$20 for county licensing)
|
$10.00
|
|
Platinum w/ 3 Year Rabies
|
Yes
|
Yes
|
Yes
|
Yes
|
$65.00 (+$20 for county licensing)
|
$13.00
|
Initial
|
Individual Services:
|
Price
|
|
Rabies 1 Year (Pinellas County requires that all pets be vaccinated for rabies and Licensed)
|
$16.00 (+$20 for county licensing)
|
|
Rabies 3 Year (Pinellas County requires that all pets be vaccinated for rabies and Licensed)
|
$20.00 (+$20 for county licensing)
|
|
Fel-O-Vax PCT+CaliciVax
|
$19.00
|
|
Feline Leukemia
|
$22.00
|
|
Intestinal Parasite Check
|
$15.00
|
|
Nail Trim
|
$8.00
|
|
Hook / Round Worm Dewormer (Strongid T)
|
$7.00
|
|
Microchip (Price includes local numbing agent and Microchip registration)
|
$40.00
|
All vaccinations are given under the direction of a Veterinarian by a Veterinary Technician.
Please see information sheet attached to clipboard for explanation of vaccinations.
***In the event of an emergency or sick case, examinations will be granted for established clientele.***
-
Vaccine clinic prices, policies, and regulations apply ONLY during vaccine clinic hours (Thursday 8 am – 12 pm). No other discounts will be given at this time.
-
Packaged prices DO NOT include entire booster series.
-
All procedures performed and medications dispensed during the vaccine clinic are pre-paid.
-
If a client is opting for laboratory testing, it is the client’s responsibility to provide an up-to-date phone number for the purpose of relaying requested laboratory results. The Animal Hospital of Largo will call the provided number one time to relay results. It is the client’s responsibility to call back for results if the Hospital cannot contact the client on the first call. We ask that clients call the Hospital to inquire about laboratory results if they have not received a call within one week of the date of testing.
-
The Center for Disease Control (CDC) and the Animal Hospital of Largo recommend biannual deworming and intestinal parasite checks every 6 months, as some internal parasites in animals can be transmitted to humans (zoonosis). If you choose not to have an intestinal parasite check on your pet, you are hereby accepting the risks of possible zoonotic disease exposure. Please inquire with a technician if you would like more information.
-
No veterinary examinations are scheduled at the time and date of the vaccine clinic. If you would like your pet to have a veterinary examination, please ask a staff member. We will be more than happy to do an examination during your visit today if the doctor on duty is available or to schedule one during our normal business hours.
-
Please check your receipt for information regarding vaccine reactions and the number of a local emergency clinic.
By signing I verify that I am the legal owner or guardian of the pet being seen today for the vaccine clinic. To the best of my knowledge, my pet is healthy with no allergies to vaccine(s) and had no recent abnormal coughing, sneezing, vomiting, diarrhea, or eye discharge. I understand that The Animal Hospital of Largo uses the best vaccines available for the low cost vaccine clinic; however, I also acknowledge that a vaccine reaction is possible. Should my pet become ill due to a vaccination, I will not hold Animal Hospital of Largo responsible. I hereby assume all risks and give the Animal Hospital of Largo staff permission to vaccinate my pet for all elected vaccines.
Owner/Guardian Signature: __________________________________________ Date: _____________
In addition to the initialed procedures, I would like to purchase (Circle):
Advantage
|
Advantix
|
Vectra
|
Heartgard Plus
|
Tri-Heart Plus
|
Comfortis
|
Trifexis
|
Revolution
|
Other:
|
|
Please see info sheet on clipboard for explanation of products. By law, heartworm preventative can only be dispensed with proof of a current negative heartworm test result. |