CDC NASPHV Form 51 2007 free printable template

RABIES VACCINATION CERTIFICATE NASPHV FORM 51 revised 2007 RABIES TAG Owner s Name Address LAST FIRST Print Clearly M. I. MICROCHIP TELEPHONE NO. STREET CITY SPECIES Dog Cat Ferret Other AGE PREDOMINENT BREED PREDOMINANT COLORS/MARKINGS SIZE Months Under 20 lbs. Years 20 - 50 lbs. SEX Male Over 50 lbs. Female specify Neutered Animal Control License 1 Yr 3 Yr DATE VACCINATED Product Name ANIMAL NAME Veterinarian s Name Manufacturer Month / Day / Year NEXT VACCINATION DUE BY License Number...

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 CDC website or local health department.
2. Fill in the personal information section, including your name, address, and contact information.
3. Provide information regarding the vaccination, including the date, type of vaccine, and lot number.
4. Include the name and title of the healthcare provider administering the vaccine.
5. Sign the form to certify that the information provided is accurate.
6. Submit the completed form according to the instructions provided, either electronically or by mail.

Who needs CDC NASPHV Form 51?

1. Individuals who have received vaccinations and need to document their immunizations for school, work, or travel purposes.
2. Healthcare providers who need to maintain accurate vaccination records for their patients.
3. Organizations and institutions that require proof of immunization for enrollment or employment.

• 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 do I get a rabies certificate in Canada?

Requirements of the Rabies Vaccination Certificate be written in English or French; be issued and signed by a licensed veterinarian; identify the animal (as in breed, colour, and weight); state that the animal is vaccinated against rabies; indicate the date of vaccination;

Can humans get rabies without being bitten?

People usually get rabies from the bite of a rabid animal. It is also possible, but rare, for people to get rabies from non-bite exposures, which can include scratches, abrasions, or open wounds that are exposed to saliva or other potentially infectious material from a rabid animal.

How do I get a rabies shot in BC?

The rabies vaccine can be purchased and received at travel health clinics. Services vary throughout BC; the rabies vaccine may also be available at pharmacies or doctors' offices in your area. Contact your local health unit with other questions about the rabies vaccination. Use the health unit finder.

What happens if you test positive for rabies?

Once a rabies infection is established, there's no effective treatment. Though a small number of people have survived rabies, the disease usually causes death. For that reason, if you think you've been exposed to rabies, you must get a series of shots to prevent the infection from taking hold.

What is proof of rabies?

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 is the only rabies vaccination certificate that CDC will accept from dogs that were vaccinated outside of the United States.

What is a Nasphv Form 51?

An updated rabies vaccination certificate is available from the National Association of State Public Health Veterinarians. Referred to as Form 51, the certificate is a model for use by veterinarians.

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What is CDC NASPHV Form 51?

CDC NASPHV Form 51 is a standardized form used for reporting vaccination information to the Centers for Disease Control and Prevention (CDC) and the National Association of State Public Health Veterinarians (NASPHV).

Who is required to file CDC NASPHV Form 51?

Healthcare providers, such as physicians and clinics, who administer vaccines are required to file CDC NASPHV Form 51 to report the vaccination data for their patients.

How to fill out CDC NASPHV Form 51?

To fill out CDC NASPHV Form 51, healthcare providers must complete all required fields, including patient information, vaccination details, administration site, and provider information, ensuring that the data is accurate and complete.

What is the purpose of CDC NASPHV Form 51?

The purpose of CDC NASPHV Form 51 is to collect immunization data to monitor vaccination coverage, assess public health trends, and support immunization programs at the local, state, and national levels.

What information must be reported on CDC NASPHV Form 51?

Information that must be reported on CDC NASPHV Form 51 includes details about the vaccinated individual (such as name, age, and address), the vaccine administered (type, manufacturer, and lot number), the administration date, and the provider's information.