Client & Pet Registration
Welcome to our clinic and thank you for registering with the Okinawa
Veterinary Activity. Please complete the following information about
you and your pet accurately. Your pet’s medical records are confidential
and just as important as yours. Thank you!

About You:
Sponsor Name (Last, First, MI): ________________________________________________________
Spouse Name (Last, First, MI): ________________________________________________________
Rank: ________

Grade: ________

Branch of Service: __________

Unit: ____________________________

Duty Phone:________________

Location:

PSC Mailing Address (PO Box): __________________________________________On Base
Off Base__________________________________________
Official/Military Email Address: ________________________________________________________
Alternate E-Mail Address(s): ___________________________________________________________
Home Phone: __________________________

Cell Phone: _______________________________

Spouse Phone: _________________________

Commander/Supervisor Information:
Name: ________________________________

Duty Phone: ______________________________

Email: ____________________________________________________________________________

About Your Pet:
Name: __________________________________

Sex:

Breed: ________________________ Mixed:
Age / Date of Birth: _______________________

Species:

Male

Neutered Male

FemaleSpayed Female

Dog

Cat

Color: __________________________________

Other ____________________

Microchip: ______________________________

Verified by Staff: _____________________

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Updated 03/09/2020

Breeding Policy
1. In Accordance with Army regulation 40-905, veterinary services will not be provided in support of any
commercial operation raising animals (pets or livestock) for profit.
2. The Okinawa Veterinary Activity (VETAC) will not treat any pets that are producing or being
produced for profit.
Name (printed): _________________________

Signature: _________________________

Date: __________________________________

Missed Appointment Policy
When a client makes an appointment and (1) is more than 5 minutes late, (2) does not show, or (3) fails tocancel 2 hours in advance, this appointment is considered a “no show.” This impacts our ability to serve allof our clients. After the first no-show appointment a warning letter will be sent. The second no-show
appointment will result in a letter to you and your commander/supervisor and loss of veterinary clinic
privileges for 3 months. The third no-show appointment will result in a letter to you and your commander/
supervisor and loss of veterinary clinic privileges for 6 months.
Surgery/dental/drop-off appointments- When a client makes an appointment and (1) is more than 5
minutes late, (2) does not show, or (3) fails to cancel 2 business days prior, this appointment is considered a“no show.” This will result in a letter to you and your commander/supervisor and loss of clinic privileges
for 1 year.
Name (printed): _________________________

Signature: _________________________

Date: __________________________________

Payment Policy
Payment is due when services are rendered. Acceptable forms of payment include cash, personal check,Visa, MasterCard and Discover credit cards.

Prescription and OTC Medication Policy
Prescription and OTC Medications- No medication, including heartworm prevention, will be dispensed
without a valid veterinarian-client-patient relationship at this facility within the last 12 months. The pet
must have tested negative for heartworms within the past 12 months and must have proof if done off basein order to dispense heartworm prevention. No prescriptions from civilian veterinary clinics will be filled
at this facility in accordance to federal law. Prescription requests need to be sent toOkinawaVetClinic@gmail.com at least 1 business day prior to pick up and must be picked up within 7days. If not picked up within 7 days the prescription will be restocked and will need to be requested again.
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DEPARTMENT OF THE ARMYREPLY TOATIENTION OF:

PUBLIC HEAL TH ACTIVITY - JAPANOKINAWA VETERINARY SERVICESAPO AP 96368-5111

MCHB-RP-JBO

08 JULY 2020

MEMORANDUM FOR: Incoming SOFA Status Personnel
SUBJECT: Home Quarantine Policy for Pets
1. The practice of allowing pets to remain in the custody of their owners during the assigned
quarantine period is a privilege extended by the Government of Japan to SOFA status
personnel due to the long history of cooperation between our two nations. Therefore, it isimperative that all SOFA status personnel fully comply with Japanese quarantine laws
concerning examination or processing of animals for entry into or exit from Japan. It is
incumbent upon all SOFA status personnel to support and adhere to the following specificpolicies so that we do not jeopardize the good standing we have with our host nation. Failure
to comply with these requirements could potentially result in the revocation of the homequarantine privileges for all SOFA status personnel. Any violation of these policies will bereported to the responsible command and the Government of Japan for action.
2. All SOFA status personnel with animals placed in quarantine status are required tocomply with the following restrictions until the animal has been released from quarantine by
the Okinawa Veterinary Activity. The final quarantine release examination must be conductedwith the animal present on or after the final quarantine release date that was assigned by thequarantine official at the port of entry.
3. Please initial each of the following items indicating that you understand and will comply
with the restrictions listed below:
While the animal is in quarantine, the pet is not allowed to have contact withany other animal outside the pet owner's household.
The only authorized areas for quarantined animals are in the pet owner's on­base quarters, temporary lodging (Pet TLF). and Karing Kennels. Vehicular transportation
between authorized areas is allowed.
Dogs must stay in the pet owner's quarters at all times except when taken
outside to eliminate (defecate and urinate). When taken outside to eliminate, dogs must bekept on a leash. Dogs are not allowed to be taken for walks around the block. The ownermust stay with the dog at all times when it is outside, and must hold the leash at all times.
Dogs are not allowed to be off leash in a fenced yard. Cats must be kept strictly indoors at alltimes.
Updated: 07.01.19