Application for Rabies Vaccination Exemption - Virginia 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the Veterinarian Information section. Enter your name, Virginia License number, practice name, address, city, state, zip code, phone number, and fax number clearly.
3. Next, complete the Owner Information section with the owner's name, phone number, and physical address.
4. In the Patient Information section, provide details about the animal including its name, species (canine or feline), age, date of birth, breed, sex, weight, reproductive status (spayed/neutered/intact), color and markings, and microchip number if applicable.
5. Detail the Medical History of the animal by stating the reason for requesting an exemption along with any pre-existing conditions and their diagnosis dates.
6. List all previous rabies vaccinations in the Rabies Vaccination History section. Include dates of vaccination and product details.
7. Ensure both owner and veterinarian initial next to each statement in the Owner Education Necessary for Informed Consent section to confirm understanding of responsibilities.
8. Finally, both parties must sign in their respective affirmation sections to validate the application before submission.

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