Seacliff Animal Hospital Rabbit RHD Vaccination Waiver
Seacliff Animal Hospital – RHD Consent Form
WAIVER FOR RABBIT HEMORRHAGIC DISEASE (RHD) VACCINATION
Seacliff Animal Hospital
19635 Main St., #101
Huntington Beach, CA 92648
714-969-2691
Owner or Authorized Agent's name:
(Required)
First
Last
Rabbit(s) name(s):
(Required)
Consent for Vaccination
(Required)
I have elected to have my rabbit(s), vaccinated with the Medgene vaccine, as an attempt to protect against Rabbit Hemorrhagic Disease Virus Serotype 2 (RHDV2). I understand the following:
1. This vaccine is the only USDA licensed RHDV2 vaccine offered in the United States and works closely with key leaders in the various rabbit communities to ensure fast and ready access to the vaccine.
2. For best efficacy, it is recommended that rabbits over 1 month of age receive the vaccine and then are given a booster at 21 days, then vaccinated every year.
3. The vaccine should be fully protective 14 days after the second vaccine booster, which would be 35 days after the first dose.
4. Side effects have been documented in rabbits given the vaccine, including but not limited to: May develop a small swelling at the site of the injection, develop a slight temporary fever, or be lethargic for a day or two. If my rabbit develops any side effects from the Medgene vaccine or the vaccination procedure, I do not hold the Baker Bristol Pet Hospital responsible, and as the owner of this rabbit, will assume full responsibility for any treatment costs associated with said side effects.
5. This vaccine has gone through safety testing in accordance with USDA standards. It has been determined to be safe and approved for use with a two-dose regimen.
6. The effects of this vaccine on fertility have not been determined and the risk of abortion in pregnant rabbits is undetermined at this time.
7. There is currently no medical data on the interaction of this vaccine with other medical products.
8. Because rabbits are considered by some for meat production, USDA requires a 21-day withdrawal period for meat consumption, to avoid potential risks to US food supplies.
9. We ask that you stay (in your car) for 15 minutes after vaccination in case there is an adverse reaction.
I have read and fully understand the terms and conditions set forth above. I, as the undersigned owner (or agent) of the pet identified below, authorize the staff of Baker Bristol Pet Hospital to vaccinate my rabbit with the vaccine.
I agree to the vaccination consent policy.
Digital Signature
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Date
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