Vermont Veterinary Technician Association

Rabies Endpoint Titer Request Form 2018

VVTA MEMBER: $60.00
NON-VVTA MEMBER: $100.00

  • You must be a VVTA member as of August 1st 2018 for discount.
  • Once we have payment you will get an email with extensive information.
  • RETAIN a copy of this paperwork.
  • A copy of this paperwork must accompany each INDIVIDUAL pre-drawn blood sample.


 I will attend the Saturday November 17, 2018 Blood Draw at
210 Center Rd, E Montpelier – 2-5 pm
Name*
Phone

Cell* 

Email* 
Sex
Birth Date
Rabies Vaccination History


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If you’d like you can Download a PDF Version of this information and form.

Human Blood Sample Guidelines:

PLEASE FEEL FREE TO HAVE YOUR OWN DOCTOR, NURSE FRIEND, OR COWORKER DRAW YOUR SAMPLE.

  1. Sample must be less than 20 days old on November 14th, 2018.
  2. Draw at least three ml’s of whole blood.
  3. Let clot, spin and pour off serum into a non-additive empty plastic vial.
  4. Freeze serum immediately. Wrapping vial in paper towels for protection while traveling.
  5. Put vial in its own Ziploc bag.
  6. Put paperwork in another Ziploc bag and insert serum sample bag in with paperwork; protecting the paperwork  from sample and visa-versa.
  7. Put FROZEN sample with paperwork in a cooler with ice packs and drop off at any of the locations listed below after November 1, 2018.

 

If we do not have your legible paperwork, money and sample by November 17, 2018 at 5pm it will not be going. 

If you need blood drawn we will be offering a clinic on November 17, 2018 in East Montpelier. Send in your application ASAP.  

NO BLOOD DRAWS AT ANY OF THESE LOCATIONS ONLY FROZEN SERUM DROP OFF POINTS.

  1. NE Kingdom: Tannenberger Animal Hospital, 997 Fairfax Road, St. Albans, VT 802-524-2001
  2. Burlington: VCA Brown Animal Hospital, 8 Calkins Court South Burlington, VT 802-862-6471
  3. Central VT: Deb Glottmann, CVT VVTA President 210 Center Road Montpelier, VT 802-229-2041 (Call at least the night before so I will leave ice packs and cooler out.)
  4. Rutland Veterinary Clinic @ Castleton Corners, 179 Route 30 North Bomoseen, VT 802-468-5576
  5. Southern VT: Vermont New Hampshire Veterinary Clinic, 38 East West Road, East Dummerston, VT 802-254-5422
  6. Windsor Veterinary & Dental Services, 2326 US Route 5N Windsor, VT 802-624-2070