CDC NASPHV Form 51 2006 free printable template

RABIES VACCINATION CERTIFICATE RABIES TAG NUMBER NASPHV Form 51 revised 2006 MICROCHIP NUMBER Owner s Name Address PRINT LAST NO. STREET Print use ball point pen or type FIRST TELEPHONE STATE CITY M. I. ZIP FL SPECIES Dog Cat Other specify SEX Male Female Neutered AGE 3 Mo. To 12 Mo. 12 Mo. Or older SIZE Under 20 lbs. 20 50 lbs. Over 50 lbs. PREDOMINENT BREED COLORS Name DATE VACCINATED Product Name Veterinarian s License No* Manufacturer Month Day Year VACCINATION EXPIRES First 3 letters 1...

How to fill out CDC NASPHV Form 51

How to fill out CDC NASPHV Form 51

1. Obtain the CDC NASPHV Form 51 from the official CDC website or designated health authorities.
2. Start by filling in the patient's personal information including name, date of birth, and gender.
3. Provide the vaccination information, including the type of vaccine administered, date of administration, and dosage.
4. Indicate the provider's details, including name, organization, and contact information.
5. Ensure to include any relevant medical history or contraindications if applicable.
6. Review the completed form for accuracy and completeness.
7. Sign and date the form if required.
8. Submit the completed form to the appropriate health department or online portal as instructed.

Who needs CDC NASPHV Form 51?

1. The CDC NASPHV Form 51 is needed by healthcare providers, immunization services, and public health authorities to record and verify vaccination information.
2. It may also be required for individuals receiving vaccinations to maintain accurate immunization records.

• Who needs a NASH Form 51?
• What is NASH Form 51 for?
• Is NASH Form 51 accompanied by other forms?
• • When is NASH Form 51 due?
  • How do I fill out NASH Form 51?
  • Where do I send NASH Form 51?

Who needs a NASH Form 51?

An owner of a dog, cat, ferret or other pet might need this Form in order to obtain a veterinary vaccination certificate.

What is NASH Form 51 for?

The Form was approved by the National Association of State Public Health Veterinarians. The properly completed Form is a rabies vaccination certificate that serves as proof that the pet was vaccinated against rabies.

Is NASH Form 51 accompanied by other forms?

No other form is required.

When is NASH Form 51 due?

The rabies vaccination certificate should be issued as soon as a veterinarian has vaccinated the animal.

How do I fill out NASH Form 51?

The following information should be provided in the Form:

• Information about the pet’s owner: name, address, and telephone.

• Information about the animal: species, age, sex, size, predominant breed, predominant colors/markings, name, and animal control license.

• Information about vaccination. Here you should enter the date of vaccination and when the next vaccination is due. Further, you should provide the product’s name and manufacturer. Depending on the dose, you should check one of the two boxes: “Initial dose” or “Booster dose”.

• Information about the veterinarian: name, license number, and address.

The veterinarian should sign the certificate.

Where do I send NASH Form 51?

When the next vaccination is due, you should present the vaccination certificate to the veterinarian.

If you are going to travel abroad with your pet, you should have a valid Rabies Vaccination Certificate with you.

What is rabies certificate?

What is NASPHV Form 51 for? The Form was approved by the National Association of State Public Health Veterinarians. The properly completed Form is a rabies vaccination certificate that serves as proof that the pet was vaccinated against rabies.

People Also Ask about

How long is a US rabies certificate good for?

How long are rabies certificates valid? Some rabies vaccinations are valid for one year, while others are valid for three years. Many states require yearly rabies vaccinations for dogs, cats, ferrets and horses.

Does rabies vaccine last longer than 3 years?

While 3-year rabies vaccines are recognized in all 50 States, annual or biannual revaccination for rabies is still required by some State municipalities, even though essentially all United Stated Department of Agriculture (USDA) licensed rabies vaccines have a minimum 3-year duration (3).

How do I prove my dog has rabies vaccination?

The rabies vaccination certificate is formal proof that your dog has been vaccinated against rabies. As of March 1, 2023, the CDC Rabies Vaccination and Microchip Record [PDF – 1 page] is the only rabies vaccination certificate that CDC will accept from dogs that were vaccinated outside of the United States.

How long is a rabies vaccination valid for?

Boosters: The rabies vaccine protects you for 10 years. If you are working with animals or are otherwise at a higher risk, more frequent boosters may be recommended.

What happens if my dogs rabies vaccine expired?

legally speaking, when your pet is overdue, they are not protected and are considered unvaccinated. However, in a medical sense, most vaccinated dogs and cats still have some protection.

What is a US issued rabies vaccination certificate?

The rabies vaccination certificate is formal proof that your dog has been vaccinated against rabies. As of March 1, 2023, the CDC Rabies Vaccination and Microchip Record [PDF – 1 page] is the only rabies vaccination certificate that CDC will accept from dogs that were vaccinated outside of the United States.

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What is CDC NASPHV Form 51?

CDC NASPHV Form 51 is a standardized form used for reporting vaccination data and information related to immunization programs and services in the United States.

Who is required to file CDC NASPHV Form 51?

Healthcare providers, public health agencies, and organizations that administer vaccinations are required to file CDC NASPHV Form 51 to ensure proper tracking and reporting of immunizations.

How to fill out CDC NASPHV Form 51?

To fill out CDC NASPHV Form 51, you should provide accurate information regarding the patient, vaccination details, and any relevant demographic data. Follow the instructions provided on the form to complete each section correctly.

What is the purpose of CDC NASPHV Form 51?

The purpose of CDC NASPHV Form 51 is to collect and report vaccination data to improve immunization coverage and public health outcomes across the nation.

What information must be reported on CDC NASPHV Form 51?

The information that must be reported on CDC NASPHV Form 51 includes the patient's personal details, vaccination given, date of administration, provider information, and any necessary follow-up data.