"Veterinary Certificate of Health" - Nova Scotia, Canada

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Download "Veterinary Certificate of Health" - Nova Scotia, Canada

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Clear Form
Veterinary Certificate of Health
Date
Veterinarian
 Veterinary clinic
Veterinary clinic address
Current owner
 Current owner address
Animal name
 Species
 Sex   Male   Female
Date of birth
 Breed
 Colour
Microchip number (if applicable)
 Distinguishing markings
Reproductive status:   Intact   Spay/neuter   Unknown
Physical Exam Findings
Temperature
Heart rate
Respiratory rate
Mucous membranes
Capillary refill time
Weight
Normal
Abnormal
If Abnormal. explain (using back of sheet if necessary)
General appearance
Oral
Teeth
Eyes
Ears
Heart
Respiratory
Lymph nodes
Abdominal palpation
Gastrointestinal
Skin
Musculature
Skeletal
Other observations/recommended treatments
I have examined this animal on (insert date)
and noted above my observations based on
this physical examination. I have not conducted any tests beyond a physical examination. My examination relied in
part on information from the owner, which cannot be warranted as to accuracy. This Veterinary Certificate of Health
indicates the health status of this animal on the date of the examination, based on my physical examination. It is not
intended to be relied on to predict the future health of this animal, including any conditions that may arise after the
date of examination or that were not detectable on physical examination. This Certificate cannot be relied on as a
guarantee or warranty, express or implied, respecting this animal’s health.
Signature of licensed veterinarian
In accordance with the subsection 26(6) of the Animal Protection Act, S.N.S 2018, c. 21 and Section 12 of the Standards of Care for Cats and Dogs
Regulations, N.S. Reg. 182/2019, no person shall sell to a purchaser a cat or dog in the Province of Nova Scotia without a valid certificate of health
issued by a veterinarian (“Veterinary Certificate of Health”). This Veterinary Certificate of Health must be used in the form posted on the Department
of Agriculture website and must not be altered. It is the seller’s responsibility to provide the purchaser with a Veterinary Certificate of Health, signed
by a veterinarian, with all sections completed. Each Veterinary Certificate of Health is valid for 6 months from the date it is issued and is valid for
only 1 animal and only 1 sale.
Rev 25Nov2019
Clear Form
Veterinary Certificate of Health
Date
Veterinarian
 Veterinary clinic
Veterinary clinic address
Current owner
 Current owner address
Animal name
 Species
 Sex   Male   Female
Date of birth
 Breed
 Colour
Microchip number (if applicable)
 Distinguishing markings
Reproductive status:   Intact   Spay/neuter   Unknown
Physical Exam Findings
Temperature
Heart rate
Respiratory rate
Mucous membranes
Capillary refill time
Weight
Normal
Abnormal
If Abnormal. explain (using back of sheet if necessary)
General appearance
Oral
Teeth
Eyes
Ears
Heart
Respiratory
Lymph nodes
Abdominal palpation
Gastrointestinal
Skin
Musculature
Skeletal
Other observations/recommended treatments
I have examined this animal on (insert date)
and noted above my observations based on
this physical examination. I have not conducted any tests beyond a physical examination. My examination relied in
part on information from the owner, which cannot be warranted as to accuracy. This Veterinary Certificate of Health
indicates the health status of this animal on the date of the examination, based on my physical examination. It is not
intended to be relied on to predict the future health of this animal, including any conditions that may arise after the
date of examination or that were not detectable on physical examination. This Certificate cannot be relied on as a
guarantee or warranty, express or implied, respecting this animal’s health.
Signature of licensed veterinarian
In accordance with the subsection 26(6) of the Animal Protection Act, S.N.S 2018, c. 21 and Section 12 of the Standards of Care for Cats and Dogs
Regulations, N.S. Reg. 182/2019, no person shall sell to a purchaser a cat or dog in the Province of Nova Scotia without a valid certificate of health
issued by a veterinarian (“Veterinary Certificate of Health”). This Veterinary Certificate of Health must be used in the form posted on the Department
of Agriculture website and must not be altered. It is the seller’s responsibility to provide the purchaser with a Veterinary Certificate of Health, signed
by a veterinarian, with all sections completed. Each Veterinary Certificate of Health is valid for 6 months from the date it is issued and is valid for
only 1 animal and only 1 sale.
Rev 25Nov2019