Consent and Acknowledgment
To the best of my knowledge, my pet(s) is healthy with no diagnosed allergies to vaccines and has had no recent occurrence of abnormal coughing, sneezing, vomiting, diarrhea, or weight loss. My pet has not bitten or scratched anyone in the last 10 days. I have disclosed all medications my pet is on. I acknowledge the fact that a vaccine reaction is possible. Should it happen that my pet becomes ill due to a vaccination, I will not hold the Veterinarian or ShotVet responsible as reactions are highly individual immune responses which cannot be foreseen.
A vaccine reaction is rare yet potential side effects from vaccination include depression, muscle aches, stiffness, mild fever, or a small lump at the vaccine site. These side effects are usually temporary. Welts, facial swelling, vomiting, diarrhea, difficulty breathing, altered mental state, or shaking could be an allergic reaction. If any allergic reaction symptoms occur, proceed immediately to the nearest animal emergency facility.
In accordance with applicable state laws, a state-licensed Registered Veterinary Technician (RVT) may administer vaccines under the supervision and direction of a state-licensed veterinarian. By utilizing ShotVet services, you acknowledge and consent to your pet’s vaccinations being administered by a Registered Veterinary Technician where permitted by law.
Financial Responsibility
I understand that unforeseen side effects/allergic reactions may occur in any animal after the injection of a ShotVet vaccine produced by major manufacturers of animal health products. Any side effects/allergic reactions requiring further medical attention are at my own expense. Due to the nature of the clinic setting, free medical care for vaccine-related side effects and allergic reactions during clinic hours will be given but is limited, and my pet may require further treatment at my expense. All other post-vaccination events requiring treatment will be at my own expense. I have been given the opportunity to ask any questions concerning this policy before signing below. Being aware of these facts, I give my permission to the Veterinarian to administer the vaccines and medications listed on this document.
Media Release
I hereby grant and convey to Seminole Animal Hospital Services, LLC d/b/a ShotVet and its authorized representatives all right, title, and interest I may have in any and all photographs, video recordings, and other recording devices made during and around a visit to a Seminole Animal Hospital Services, LLC d/b/a ShotVet clinic. I further agree that Seminole Animal Hospital Services, LLC d/b/a ShotVet shall have the right to use such recordings for any and all purposes, an unlimited number of times and in perpetuity by any and all means and media, now and hereafter created.
YOUR PET HAS BEEN EXAMINED TO DETERMINE THE APPROPRIATENESS OF IMMUNIZATIONS SELECTED. THIS IS NOT A FULL AND COMPLETE PHYSICAL EXAMINATION.
I understand that as my pet’s healthcare provider, ShotVet may remind me via email, snail mail, and/or text (standard text messaging rates may apply) when my pet(s) are due for refills, shots, and other medical-related treatments.