Community Vaccine Clinic

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C.A.R.E.'s Community Vaccine Clinic is a subsidized veterinary assistance program offering support to pet owning families with limited resources and income.

Please do not sign up for this clinic if you're able to provide routine vaccines through regular vet visits.

This vaccine clinic is not intended to take the place of routine veterinary care and will not include examination or wellness check.

This form applies only to C.A.R.E.'s Community Vaccine Clinic scheduled for Saturday, April 27th at the shelter: 2801 County Road 114, Glenwood Springs, CO 81601.

A C.A.R.E. staff member will contact you by phone or email to confirm the details of your pets' needs and provide an appointment time.

Email *

Your Name: *

Phone Number:

City of Residence

Please certify that you have restricted income that prevents you from accessing veterinary care for your pet(s). *

I certify the above is true

No, I can afford full-price veterinary care

How many pets would like to schedule for vaccines? *

Do you have veterinary records showing previous vaccine dates and/or other medical history for each pet? *

Yes, I have vet records that show previous vaccines

No, I don't have vet records available and an unsure of previous vaccines given

No, my pet(s) have never received vaccines or veterinary care

Other:

Does your pet(s) have any history of vaccine reaction?

Does your pet(s) suffer from any current illnesses or chronic illness?

What services are you interested in scheduling for your pet(s)?

Core Vaccines

Microchip

Nail Trim

All of the above

If answered other please describe below

Name, age, & description of Pet #1

Name, age, & description of Pet #2

Name, age, & description of Pet #3 (or more)

Do you have any other questions for our staff?

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