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CCAS Vaccination Clinic Appointments

  1. Contact Information
    Please complete all sections of the form. Those fields with a red asterisk (*) are required.
  2. Mailing Address Information
    Complete this area if the mailing address is different than the above contact information.
  3. Preferred Appointment Day
  4. Animal Information
  5. How many animals are you making appointments for?*
  6. Pet 1 Type (Select one)*
  7. Pet's Sex*
  8. If you don't know the actual age, please enter an estimated age.
  9. Current Vaccination Information

    Please select the vaccinations your pet has completed. If you have a copy of your pet's current vaccination records, please send us a copy. You can upload them using the vaccination records field below or fax or email them. Fax # 925-608-8401. Email: spay@asd.cccounty.us

    *At this time, we are not able to serve pets who have had a previous vaccine reaction. We recommend you obtain your vaccinations from your full service veterinary clinic.

  10. Dogs
  11. Cats
  12. Upload a copy of your pet's vaccination records. *Please be sure to upload the entire document.
  13. Does your pet have a microchip?*
  14. Do you want to microchip your pet? (Pets need to receive a vaccine to receive a microchip at the Clinic)*
  15. Has your pet received their vaccination from CCAS in the past?
  16. Pet 1: Which vaccinations would you like to receive for your pet during your appointment?
    Select all that apply (NOTE: You will not be able to add additional vaccines or microchips at the time of the appointment.)
  17. Pet 2 Type (select One)*
  18. Pet's Sex*
  19. If you don't know the actual age, please enter an estimated age.
  20. Vaccination Information - Dogs

    Please select the vaccinations your pet has completed. If you have a copy of your pet's current vaccination records, please send us a copy. You can upload them using the vaccination records field below or fax or email them. Fax # 925-608-8401. Email: spay@asd.cccounty.us.

    *At this time, we are not able to serve pets who have had a previous vaccine reaction. We recommend you obtain your vaccinations from your full service veterinary clinic.

  21. Vaccination Information - Cats

    Please select the vaccinations your pet has completed. If you have a copy of your pet's current vaccination records, please send us a copy. You can upload them using the vaccination records field below or fax or email them. Fax # 925-608-8401. Email: spay@asd.cccounty.us

    *At this time, we are not able to serve pets who have had a previous vaccine reaction. We recommend you obtain your vaccinations from your full service veterinary clinic.

  22. Upload a copy of your pet's vaccination records
  23. Pet 2 Does your pet have a microchip?*
  24. Pet 2 Do you want to microchip your pet? (Pets need to receive a vaccine to receive a microchip at the Clinic)*
  25. Which vaccinations would you like to receive for your pet during your appointment?*
  26. Vaccination Clinic Requirements
    Please read ALL the terms below to ensure that your pet is eligible for vaccinations.
  27. Contra Costa Animal Services will be operating our public vaccine clinic on Wednesdays.

  28. Scheduling Your Appointment

    Requests for appointments must be submitted online. Staff will call you Tuesday-Thursday to schedule for the following Wednesday clinic. You will be called in the order your request was received. If the clinic is full the week you submit your request, you will be called in the next available week. Only two animals per household can be scheduled at a time.

    **We have limited appointments available. Please consider contacting your full service veterinary clinic if you are not able to get into our Vaccination Clinic in a timeframe that works for you.

  29. Appointment Day

    You must be on time for your appointment. If you are delayed, you will need to reschedule. Dogs must be leashed or in carriers and cats must be in carriers. **No exceptions. **Attendance is limited to two people per appointment. 

  30. If we are not able to handle your pet for vaccination, we will refund your fees. We are not able to sedate animals. 

  31. I have read and agree to the terms above.
  32. Leave This Blank:

  33. This field is not part of the form submission.