Greys and Strays, LLC Alysia Deaven, VMD 2686 S Pine Grove St, Jonestown PA 17038 717-304-9987 Vaccination Clinic Liability Release Form: CANINE I hereby consent and authorize Greys and Strays and its associates/volunteers to receive, and transport the following animal(s). I will not hold liable or responsible Greys and Strays, its associates or volunteers for any and all claims, liabilities, losses, damages, charges, fees and expenses of every nature and character which I or my animal(s) may sustain or incur by handling, attending, treating, and vaccinating. Greys and Strays is to use all reasonable precautions against injury, escape or death of my pet or stray. Greys and Strays will not be held liable or responsible in any matter in connection therewith as it is thoroughly understood that I assume all risks. Vaccine reactions that occur are usually mild and can include lethargy, soreness, and decreased appetite for about 24 hours. However, severe allergic reactions including anaphylaxis and death, while rare, are possible. Greys and Strays reserves the right to hold or keep any animal for health, safety or treatment reasons in order to protect that animal. I have read the forgoing and agree. Signature ______Date______Print Name______Phone ( )______Address ______City______Zip______EMAIL:______Pet Name______Breed______Color______Circle: M or F Circle: Spayed/Neutered or Intact Age/Birthdate:______WT:____ PLEASE CIRCLE BELOW VACCINATIONS: We Use Merial/BI Vaccines ***FOR SAFETY REASONS SMALL BREED DOGS RECEIVE 1 VACC/VISIT *** Dogs may be tired, slightly sore, not eat normally for 24 hrs and get a lump at the site of injection

RABIES : $15 (Required at 12-16 wks; a rabies certificate must be shown for a 3 year license; Boost initial rabies vaccine in 12-14 mos then every 3 years in PA)

Recombitek DISTEMPER/PARVO: $15 (includes Distemper, Hepatitis, Parainfluenza, Parvovirus (PUPPIES: vaccinate every 4 wks from 8-16 wks (the last vaccine must be given at 16 wks or later for proper immunity); DOGS OVER 16 WKS: Vaccinate twice, 2-4 weeks apart; DOGS OVER 1 YR: only 1 vaccine is needed; Boost all vaccs in 1 yr, then every 3 yrs;); give till 10 yrs

TITER TEST for Adenovirus, Parvovirus and Distemper: $50 This can be used to make sure puppies are properly immunized, to see if a recently acquired/adopted dog needs the DAP vaccine or to see if your dog actually needs a DAP booster when it is due--it is recommended to check this at the time of the 3 yr booster

Recombitek LEPTO 4 : $15 (vaccinate twice, 2-4 wks apart, then yearly; recommended for ALL dogs exposed to urine from wildlife and other dogs, dogs that play in water, hike, camp, hunt; Lepto is Zoonotic)

Recombitek LYME: $30 (vaccinate twice, 2-4 wks apart, then yearly; recommended if exposed to ticks, in tick infested areas; dogs that hike, camp, hunt; start after core vaccs; our area is Lyme endemic)

Bordetella/Parainfluenza: $15 (for dogs going to groomers, shows, dog parks, kennels, etc)

Influenza H3N2: $35 (vaccinate twice, 2-4 wks apart, then yearly; rec for dogs w/ lots of dog exposure, travel)

FLEA/TICK MEDS: RECOMMENDED MONTHLY YEAR ROUND NEXGARD (Fleas and Ticks) ORAL MED FOR FLEAS/TICKS; $18.00/dose FRONTLINE GOLD (Fleas/Ticks/Mosquitoes/Lice): COST IS WEIGHT DEPENDENT; FRONTLINE SPECIALS RUN YEAR ROUND; can start at 8 wks of age

DEWORMERS: FECAL TEST RECOMMENDED YEARLY;GIARDIA FOR PUPPIES PYRANTEL (Hooks/Rounds): up to 10#: $3 Over 10# is $2/10#: DEWORM PUPS 4 TIMES SPACED 2-4 WEEKS APART THEN ONCE A MONTH; DRONTAL PLUS (Hooks/Rounds/Whips/Tapes): Cost is weight dependent;DEWORM TWICE 2.5 WKS APART

HEARTWORM: RECOMMENDED MONTHLY YEAR ROUND HEARTWORM/LYME/EHRLICHIA/ANAPLASMOSIS TEST $40 TESTING MUST BE PERFORMED BEFORE A HEARTWORM MED IS PRESCRIBED, we use HEARTGARD PLUS—RECOMMENDED FOR ALL HOMEAGAIN MICROCHIP $40 incl registration FECAL $25 GIARDIA $25 NAILS $10 ANALS $10