Quote_Form_-_VetPrice_.doc
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| CUS18_Request_Quotation_SF18.pdf | ||
| Vet_Services_SOW.doc | DOC document |
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Price Quote Form for
Customs and Border Protection
Canine Veterinary Services Please provide your price for the services shown in the table below for the base year and four option years. If you’re pricing structure for some items is different than that shown in the table, please explain you’re pricing for those items on attached sheets if necessary.
Company name: __________________________ Phone: _______________________ Person preparing quote: _____________________________ Date: _________________ Signature: _______________________________ Fax: __________________________ Vendor e-mail address: ____________________________________________________
| Base Year |
| April 1, 2018 – March 31, 2019 |
| Procedure |
| Price |
Health Certificate exam
Office visit/physical exam
Exam with vaccines
Progress exam
Office visit after hours emergency
Bordatella vaccine
Coronavirus vaccine
Giardia vaccine
Distemper/Ad/Parvo vaccine
Lyme vaccine
Lepto vaccine
Rattlesnake vaccine
Rabies vaccine
CBC (blood test)
Fecal flotation/centrifugation (circle one)
Fecal exam for parasites
Occult/ehrlichia/lyme test (ANA)
IV catheter, canine pre-anesthetic panel
Anesthesia gas, small breed
Anesthesia gas, medium breed
Anesthesia gas, large breed
Urinalysis
Hospital overnight
Hospital daily exam/tx
Xray-one view
Xray additional view
Teeth cleaning mild
Teeth cleaning moderate
Teeth cleaning severe
Anal gland expression
Ear cleaning/flushing
Medical waste/biohazard fee
Nail trim
Heartworm test
Interceptor (heartworm tx) per year per dog
Heartguard (heartworm tx) per year per dog
Frontline Plus (flea tx) small breed (1 YEAR)
Frontline Plus (flea tx) medium breed (1 YEAR)
Frontline Plus (flea tx) large breed (1 YEAR)
Preventic collar (if needed) per year per dog
| Option Year One |
| April 1, 2019 – March 31, 2020 |
| Procedure |
| Price |
Health Certificate exam
Office visit/physical exam
Exam with vaccines
Progress exam
Office visit after hours emergency
Bordatella vaccine
Coronavirus vaccine
Giardia vaccine
Distemper/Ad/Parvo vaccine
Lyme vaccine
Lepto vaccine
Rattlesnake vaccine
Rabies vaccine
CBC (blood test) fecal flotation/centrifugation (circle one)
Fecal exam for parasites occult/ehrlichia/lyme test (ANA)
IV catheter, canine pre-anesthetic panel
Anesthesia gas, small breed
Anesthesia gas, medium breed
Anesthesia gas, large breed urinalysis hospital overnight hospital daily exam/tx x-ray-one view x-ray additional view teeth cleaning mild teeth cleaning moderate teeth cleaning severe anal gland expression ear cleaning/flushing
Medical waste/biohazard fee nail trim heartworm test
Interceptor (heartworm tx) per year per dog
Heartguard (heartworm tx) per year per dog
Frontline Plus (flea tx) small breed (1 YEAR)
Frontline Plus (flea tx) medium breed (1 YEAR)
Frontline Plus (flea tx) large breed (1 YEAR)
Preventic collar (if needed) per year per dog
| Option Year Two |
| April 1, 2020 – March 31, 2021 |
| Procedure |
| Price |
Health Certificate exam
Office visit/physical exam
Exam with vaccines
Progress exam
Office visit after hours emergency
Bordatella vaccine
Coronavirus vaccine
Giardia vaccine
Distemper/Ad/Parvo vaccine
Lyme vaccine
Lepto vaccine
Rattlesnake vaccine
Rabies vaccine
CBC (blood test) fecal flotation/centrifugation (circle one)
Fecal exam for parasites occult/ehrlichia/lyme test (ANA)
IV catheter, canine pre-anesthetic panel
Anesthesia gas, small breed
Anesthesia gas, medium breed
Anesthesia gas, large breed urinalysis hospital overnight hospital daily exam/tx x-ray-one view x-ray additional view teeth cleaning mild teeth cleaning moderate teeth cleaning severe anal gland expression ear cleaning/flushing
Medical waste/biohazard fee nail trim heartworm test
Interceptor (heartworm tx) per year per dog
Heartguard (heartworm tx) per year per dog
Frontline Plus (flea tx) small breed (1 YEAR)
Frontline Plus (flea tx) medium breed (1 YEAR)
Frontline Plus (flea tx) large breed (1 YEAR)
Preventic collar (if needed) per year per dog
| Option Year Three |
| April 1, 2021 – March 31, 2022 |
| Procedure |
| Price |
Health Certificate exam
Office visit/physical exam
Exam with vaccines
Progress exam
Office visit after hours emergency
Bordatella vaccine
Coronavirus vaccine
Giardia vaccine
Distemper/Ad/Parvo vaccine
Lyme vaccine
Lepto vaccine
Rattlesnake vaccine
Rabies vaccine
CBC (blood test) fecal flotation/centrifugation (circle one)
Fecal exam for parasites occult/ehrlichia/lyme test (ANA)
IV catheter, canine pre-anesthetic panel
Anesthesia gas, small breed
Anesthesia gas, medium breed
Anesthesia gas, large breed urinalysis hospital overnight hospital daily exam/tx x-ray-one view x-ray additional view teeth cleaning mild teeth cleaning moderate teeth cleaning severe anal gland expression ear cleaning/flushing
Medical waste/biohazard fee nail trim heartworm test
Interceptor (heartworm tx) per year per dog
Heartguard (heartworm tx) per year per dog
Frontline Plus (flea tx) small breed (1 YEAR)
Frontline Plus (flea tx) medium breed (1 YEAR)
Frontline Plus (flea tx) large breed (1 YEAR)
Preventic collar (if needed) per year per dog
| Option Year Four |
| April 1, 2022 – March 31, 2023 |
| Procedure |
| Price |
Health Certificate exam
Office visit/physical exam
Exam with vaccines
Progress exam
Office visit after hours emergency
Bordatella vaccine
Coronavirus vaccine
Giardia vaccine
Distemper/Ad/Parvo vaccine
Lyme vaccine
Lepto vaccine
Rattlesnake vaccine
Rabies vaccine
CBC (blood test) fecal flotation/centrifugation (circle one)
Fecal exam for parasites occult/ehrlichia/lyme test (ANA)
IV catheter, canine pre-anesthetic panel
Anesthesia gas, small breed
Anesthesia gas, medium breed
Anesthesia gas, large breed urinalysis hospital overnight hospital daily exam/tx x-ray-one view x-ray additional view teeth cleaning mild teeth cleaning moderate teeth cleaning severe anal gland expression ear cleaning/flushing
Medical waste/biohazard fee nail trim heartworm test
Interceptor (heartworm tx) per year per dog
Heartguard (heartworm tx) per year per dog
Frontline Plus (flea tx) small breed (1 YEAR)
Frontline Plus (flea tx) medium breed (1 YEAR)
Frontline Plus (flea tx) large breed (1 YEAR)
Preventic collar (if needed) per year per dog
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