College of Veterinarians of Ontario - College of Veterinarians of Ontario

In This Section arrow_downward arrow_upward

Facility Accreditation Emblem

Facility Director

Annual Accreditation Fee

Accreditation Standards

Accreditation Process

Prepare for Inspection

Accreditation Committee

Sample Documents

Temporary Facilities

Cardiac Screening Program

Congenital Deafness Screening Program

Microchip Clinic

Ophthalmic Screening Program

Rabies Program

Sponsoring Veterinarian Information

First Name*

Last Name*

Licence Number*

Email*

Participating Veterinarian(s)

The procedures relating to this program will be performed by

Participant Name #1*

Participant Name #2

Participant Name #3

Participant Name #4

Participant Name #5

Participant Name #6

Participant Name #7

Participant Name #8

Participant Name #9

Participant Name #10

Add Another

Location of Rabies Clinic

Name of Facility or Building*

Street Address*

City*

Postal Code*

Is this an accredited facility?*

Yes

Program Date(s)

Start Date*

End Date

Sponsoring Veterinarian Declaration

I, the sponsoring veterinarian, currently licensed with the College of Veterinarians of Ontario, hereby confirm that: *

I have read and understood the information contained in the Professional Practice Standard: Rabies Program
The Rabies Program will conform to all practice standards and professional conduct requirements as set out in the Veterinarians Act, Regulation 1093, and College publications
If the rabies program is being held at an un-accredited facility, I have informed the local Medical Officer of Health
Resources necessary to respond to adverse drug reactions will be available
Infection control protocols will be established
Records will be established for each animal that includes identification of the vaccinated animal, name and contact information of the owner/custodian, type of vaccine with lot and serial number, and date of vaccination. The records will be kept for 3 years
Each animal 's owner/custodian will be given a certificate of vaccination, which will be signed by and include the name and telephone number of the veterinarian performing the vaccination. A copy of each of the original signed certificates (hard copy or scanned) will be maintained by the issuing veterinarian for 3 years
The Rabies Program Data Report will be submitted to the College within 2 weeks of the end of the rabies program

Signature

By checking this box, I confirm that I am the licensed member submitting this application. I confirm that the information entered on this form is true and correct. I understand that it is professional misconduct to submit false or misleading information to the College (as per Regulation 1093 ss 38.1)*

Submit Application