VetPrice_Quote_Form_OPTIONS.doc

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Kennel and Vet services in Philadelphia, PA
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HSBP1013Q0037
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Vet quote form

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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 four years. If your pricing structure for some items is different than that shown in the table, please explain your pricing for those items on attached sheets if necessary.

Company name: __________________________ Phone: _______________________ Person preparing quote: _____________________________ Date: _________________ Signature: _______________________________ Fax: __________________________ Vendor e-mail address: ____________________________________________________ DUNS #___________________________________ Tax ID #______________________

Base Year
(Feb 1 2013 – Jan 31 2014)
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 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 1
(Feb 1 2014 – Jan 31 2015)
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 2
(Feb 1 2015 – Jan 31 2016)
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 3
(Feb 1 2016 – Jan 31 2017)
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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