SP26-K9-K82 Screening Verification Form~1.docx

DOCX document 22 KB Posted

Attached to
SP26-K9-K82 K9s and related supplies and services
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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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 .