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Canine Vaccine Risk Assessment

Learn More About Canine Vaccines

At which location does your pet have an appointment?*
Client Name*
First Last
Pet Name*
LEPTOSPIROSIS** is a bacterial disease that can be found in most animals, including wildlife (deer, raccoons, opossums, skunks, and rodents) and other dogs. The bacteria are passed via the urine and are present in any stagnant surface water, most soil, and recreational sources, such as ponds and lakes. Leptospirosis is a contagious disease and can be transmitted from dog to dog and dog to human. If infected, these bacteria can be fatal. It causes kidney and liver failure. Treatment includes several days of quarantined hospitalization, antibiotics, and supportive care.*
- I want to vaccinate my dog from leptospirosis to protect my dog from this potentially fatal disease.
- I DO NOT want to vaccinate my dog from leptospirosis.
LYME DISEASE** is caused by bacteria that are transmitted through certain tick species, including the deer tick and western black legged tick. Your dog is at an increased risk of contracting Lyme disease if it spends time in wooded areas or low-growing grasslands, or spends time outdoors during peak tick season. Visits to Lyme endemic areas of the Northeast, Mid-Atlantic, or upper Midwest also put your dog at risk. If you have ever found a tick on your dog, vaccination is recommended. If infected, Lyme disease can cause joint swelling, lameness, fever, and kidney failure. It is thought that once your dog is infected, it is extremely difficult, if not impossible, to clear the bacteria from the body.*
- I want to vaccinate my dog from Lyme disease due to its increased risk.
- I DO NOT want to vaccinate my dog from Lyme disease.
CANINE COUGH (Bordetella) is an upper respiratory disease similar to the common cold. The cough can be quite persistent and is usually of a dry hacking nature. This discomfort can last up to 12 weeks. Very young, older, or otherwise immunocompromised dogs are at a higher risk of developing a more severe form of canine cough. Your dog can catch this disease simply by coming into contact with dogs that have it, in such places as boarding kennels, grooming salons, local parks, or neighborhoods. Most kennels require vaccination against canine cough before admittance. The duration of vaccine is 12-14 months, but the recommendation with risk of increased contact is vaccinating every 6 months.*
Bordetella is a required vaccine at Furr: Pet Spa and Wellness Clinic.
- I want to vaccinate my dog from Canine Cough due to its risk.
- I DO NOT want to vaccinate my dog from Canine Cough.
CANINE INFLUENZA** is an upper respiratory disease similar to the flu. The symptoms of canine influenza are similar to the human flu: cough, runny nose, and fever. It is easily transmitted through respiratory secretions (sneezing, coughing, nasal discharge). Dogs with influenza may develop pneumonia that might require hospitalization. Vaccination against canine flu should be considered for any at-risk breed, dogs with heart or respiratory conditions, dogs that travel or show, and those that have extensive contact with other dogs (boarding, grooming, training facilities, and dog parks).*
Canine Influenza is a required vaccine at Furr: Pet Spa and Wellness Clinic.
- I want to vaccinate my dog for Canine Influenza due to its risk.
- I DO NOT want to vaccinate my dog from Canine Influenza.
My dog has had an adverse reaction to vaccines in the past.*
- Yes
- No
When did your dog have a reaction to vaccines? What kind of adverse reaction(s) or symptom(s) did your dog show?
**Leptospirosis, Lyme, and Influenza will require a booster in three weeks after initial vaccine if patient has not received these vaccines previously. Booster vaccine payment will be due at time of booster appointment.
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Canine Vaccine Risk Assessment
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Feline Vaccine Risk Assessment

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