CDC NASPHV Form 51 2019-2025 free printable template

RABIES VACCINATION CERTIFICATE Push to Print Form NASPHV FORM 51 revised 2019 Push to Reset Form RABIES TAG Owner s Name Address LAST FIRST NO. STREET SPECIES Dog Cat SEX AGE Print Clearly M. I. Months Years Male Female Sterilized SIZE Under 20 lbs. 20 - 50 lbs. Over 50 lbs. MICROCHIP TELEPHONE CITY STATE PREDOMINENT BREED PREDOMINANT COLORS/MARKINGS ANIMAL NAME Product Name DATE VACCINATED Veterinarian s Name Manufacturer First 3 letters Month / Day / Year 1 Yr USDA Licensed Vaccine NEXT...

How to fill out covid 19 vaccination certificate form

How to fill out CDC NASPHV Form 51

1. Obtain a copy of the CDC NASPHV Form 51 from the CDC website or your healthcare provider.
2. Fill out the patient's personal information, including name, date of birth, and contact information.
3. Provide details of the vaccination, such as the vaccine type, date administered, and the location of the vaccination.
4. Include any relevant medical history or contraindications if applicable.
5. Sign and date the form to certify that the information provided is accurate.
6. Submit the completed form to the appropriate health department or organization as required.

Who needs CDC NASPHV Form 51?

1. Healthcare providers who need to report vaccination information.
2. Public health officials for tracking immunization data.
3. Individuals receiving vaccines who require documentation for schools or travel.

• 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 rabies vaccine records

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 immunization 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?

Veterinarians, animal health officials, and other authorized individuals who provide vaccination services and need to report rabies vaccination data to public health authorities are required to file CDC NASPHV Form 51.

How to fill out CDC NASPHV Form 51?

To fill out CDC NASPHV Form 51, you need to provide detailed information including the vaccination details, animal identification, owner information, and the veterinarian's credentials. Ensure all sections are accurately completed and legible.

What is the purpose of CDC NASPHV Form 51?

The purpose of CDC NASPHV Form 51 is to facilitate the collection of standardized rabies vaccination data, which helps in disease surveillance, outbreak management, and ensuring public health safety.

What information must be reported on CDC NASPHV Form 51?

The information that must be reported on CDC NASPHV Form 51 includes the pet owner's name and contact information, details of the animal being vaccinated (type, breed, age, etc.), vaccination details (date, vaccine used, tag number), and the veterinarian's signature and license number.