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surgically remove a tumor at the injection site at some future   •  You understand what will be done to your pet during the
            date, vaccines are administered at specific locations on the   procedure
            cat’s body.                                         •  You understand the known risks that accompany the procedure,
            Vaccines are not perfect, but while the risks of vaccination are   •  You understand that the procedure may not produce the results
                                                                  and also understand that unforeseen complications may occur
  VetBooks.ir  in which at least core vaccines would not be recommended for   •  You understand the alternatives to this procedure for your pet
         minimal, the benefits can be great. There are very few scenarios
                                                                  we hope to achieve
         a pet cat.
                                                                •  You agree that you have been given time to ask questions regard-
         Other anticipated risks specific to your pet:___________________  ing the procedure, that these have been answered satisfactorily,
                                                                  and that you are free to decline the procedure.
         _________________________________________________________


         ALTERNATIVES TO THE PROCEDURE                          ____________________________________  ______________
         Unvaccinated cats are at increased risk of contracting infectious   Signature of pet owner/owner’s agent      Date
         diseases. Additionally, local laws often require rabies vaccinations.
         However, not all cats require all available vaccinations. We can
         discuss with you which of the commonly used vaccines, described   ____________________________________  ______________
         below, are recommended for your cat.                   Witness to consent (signature)             Date
            Core vaccines for household pet cats:
         •  Rabies (as required by law in most areas)
         •  Feline panleukopenia (FPV)                          ____________________________________
         •  Feline herpesvirus-1 (FHV-1)                        Witness to consent (printed name)
         •  Feline calicivirus (FCV)
         •  Feline leukemia virus (FeLV; core for kittens only)
            Non-core (optional) vaccines for household pet cats:
         •  Feline leukemia virus (FeLV; non-core for previously vaccinated
            adult cats)
         •  Feline immunodeficiency virus (FIV)
         •  Chlamydia felis
         •  Bordetella bronchiseptica
         •  Feline infectious peritonitis (FIP)
         •  Dermatophytes
            Vaccines  against  some infections provide  very  long-lasting
         protection after completion of the initial kitten vaccinations and
         the one-year booster. It may be safe to delay additional boosters
         for these infections provided that your cat is at minimal risk of
         exposure. While you may have heard about blood tests to predict if
         repeat vaccinations are necessary, unfortunately these tests cannot
         accurately predict which cats are truly protected from or susceptible
         to infection; thus, these tests are not recommended.                  Practice Stamp or Name & Address
         AUTHORIZATION
         By signing this form below, you agree that:
         •  You understand how/why the procedure is likely to help your
            pet






















         Also available in Spanish.


                     From Cohn and Côté: Clinical Veterinary Advisor, 4th edition. Copyright © 2020 by Elsevier Inc. All rights reserved.
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