Vaccine Consent Form for Finksburg Veterinary Center

Safe, Stress-Free In-Home Vaccinations

At Finksburg Veterinary Center, we make protecting your pet’s health convenient and comfortable. This Vaccine Consent Form allows you to provide authorization for your pet’s vaccinations during their in-home appointment. Completing the form in advance helps Dr. David Vaughan prepare the appropriate vaccines, review your pet’s medical history, and ensure a smooth, efficient visit.

Learn More

How to Complete This Form

Z

Provide your contact information and your pet’s name, age, and species.

Z

Review and select the vaccines your pet is due for or that you’d like to discuss during your appointment.

Z

Sign the consent section to confirm that you understand the benefits and possible side effects of vaccination.

Z

Submit the form before your scheduled appointment so Dr. Vaughan can bring the correct supplies and documentation.

If you’re unsure which vaccines your pet needs, don’t worry—Dr. Vaughan will review your pet’s record and help you make the best decision for their lifestyle and health.

Vaccine Consent Form

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone Number *

Email *

Pet's Name *

Species *

Breed *

Color: *

Age: *

I, the undersigned, am at least 18 years old, and I am the owner / duly authorized agent for the owner of the animal described herein. I hereby consent to and order euthanasia (humane death) to be performed on this animal forever releasing said doctor, hospital, and all agents from any and all liability for performing said euthanasia. It is my desire to provide for my pet decent and humane after-death care, complying with all legal requirements of the area. I authorize the attending veterinarian to now dispose of the remains in accordance with hospital policy, releasing the hospital, doctor and agents from any and all liability for performing after-death care, with the following stipulations included: *

I verify that the above stated pet has not bitten any person or animal during the last fourteen (14) days and to the best of my knowledge has not been exposed to rabies. *

I agree

Signature *

Clear Signature

Date *

Phone

Need Immediate Assistance?

If your pet is having a vaccine reaction or needs urgent care, please Call (410) 833-3300 right away.

For general questions or scheduling help, email finksburgvet1@hotmail.com

Vaccine Consent Form for Finksburg Veterinary Center

Safe, Stress-Free In-Home Vaccinations

How to Complete This Form

Vaccine Consent Form

Need Immediate Assistance?

Schedule Your Pet’s Visit Today

Get in Touch

Get in Touch

Hours of Operation

Areas Served