Vaccine Informed Consent

Vaccines are common procedures that are so successful in reducing illness that they've become considered routine and harmless. While adverse reactions are uncommon and severe reactions are considered rare, vaccinations are not without risk. Please read the information below and make an informed decision before proceeding with the recommended vaccinations for your pet. Vaccines stimulate the immune system to create protection against specific diseases. Vaccines work to reduce the severity of future diseases and may prevent the disease infection completely.

The most common adverse response to vaccinations is a mild, short-term period of fever, sluggishness, and reduced appetite. Pets may also experience pain and swelling at the injection site. These symptoms should last only a day or two, but should be reported to us so we can keep track of the overall incidence of these reactions.

Serious reactions occur rarely and may include vomiting, diarrhea, whole-body itching or hives, swelling of the face or legs, difficulty breathing, or collapse. These symptoms need to be treated immediately with appropriate medications. Rarely, your pet's vaccination may result in injection site tumors. The cause of these difficult-to-treat tumors is not completely understood and cannot be predicted as to which pet will develop this most severe complication. Data show that these tumors will occur in 1 in 10,000 to 50,000 vaccinations. Treatment options are very invasive and not totally corrective.

You will be responsible for any and all charges to treat any adverse reaction. We will tailor a vaccination plan for your pet based on their lifestyle and environmental risks. The duration of immunity for each vaccine in each individual animal is variable and cannot be predicted. We will abide by the vaccine manufacturers' guidelines for vaccine intervals. We believe that the benefits of vaccinations outweigh the risks to the pets we see daily, and therefore recommend vaccinating your pet with the recommended vaccines.

I have read and understand the above information about the benefits and risks associated with vaccinations. I give my informed consent to proceed with the recommended vaccinations and hold harmless the clinic, veterinarians, and staff from any adverse reactions that may occur.

Authorization to Treat

I, the undersigned owner or agent of the owner of the pets identified above, certify that I authorize the veterinarians at Countryside Veterinary Center to examine, prescribe, treat, administer medication, anesthesia, surgical procedures, tests, and or/treatments that the doctors deem necessary for the health, safety, and well-being of the pets while under their care and supervision. I acknowledge that I am responsible for payment in full for the above procedures and treatments. I understand that all professional fees are due at the time services are rendered. Countryside Veterinary Center does not accept payment plans or bill for services rendered.

By signing below, I acknowledge that I have read, understand, and agree to the information outlined above.