SP26-K9-K82 Screening Verification Form~1.docx
DOCX document 22 KB Posted
- Solicitation number
- BD-26-1084-POLK9-K9-119949
- Issued by
- Massachusetts
About this file
The document is a Massachusetts State Police Veterinarian Medical Screening Verification Form designed to comprehensively document the health and medical status of a K-9 unit dog. The form provides a detailed template for veterinarians to assess and record critical health parameters including muscle tone, skeletal structure, vaccination history, x-ray results, and overall medical condition. The form requires veterinarian documentation of specific health checks such as rabies, distemper, kennel cough immunizations, heartworm test results, and parasite screenings.
The verification form includes spaces for the veterinarian's professional credentials, including state license number, contact information, and signature, which suggests a standardized medical evaluation process for law enforcement canine units. While no specific contract details or pricing are evident, the document appears to be a critical component of maintaining medical standards and health documentation for police service dogs, likely used as part of a broader procurement or ongoing maintenance protocol for the Massachusetts State Police K-9 program.
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| Evaluation Criteria~1.docx | DOCX document |
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Text version
Massachusetts State Police
Veterinarian Medical Screening Verification Form
Date: _____________ Contractor: __________________________
Name of canine or Number: _________________________ DOB: ____________
| Area to be Checked |
| Comments |
Proper Muscle Tone
Proper Skeletal Structure
Elbows/ Hips X-Rayed
Rabies (last date)
Provo (last date)
Distemper (last Date)
Kennel Cough (last Date)
Heartworm Test Results
Any Parasite or Infection
Dental Check
Other
Veterinarian Approval Signature: ____________________________________
Print Name: _____________________________________________________
State License Issued In: _____________ License # _________________
Street Address: __________________________________________________
City/State/Zip Code: _______________________________________________
Telephone Number: _________________ Email ________________________
Comments: ______________________________________________________
File details come from the government source that posted it. Updated .