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Dr Duncan HoustonWritten by a practising veterinarian

Veterinary Desexing Status Certificate

A free fillable desexing status certificate for veterinary use. Certify the status, sign on screen, then print it or save it as a PDF for the owner, council or registry. Patient and owner details are never stored or sent anywhere.

Certificate

Certificate Details

Date

Client

Client's Details

First name

Last name

Address

Phone

Email

Patient

Patient's Details

Name

DOB (age)

Microchip

Colour

Gender

Species

Breed

Certification

Certification

I, the undersigned veterinary practitioner, hereby certify that the above animal:

Desexing status

Basis of determination

Notes

(optional)

Sign-off

Veterinary Sign-Off

Veterinarian name

Registration number

Practice name and address

Phone

Date signed

Veterinarian signature

Clinic stamp (stamp the printed copy)

Preview

Veterinary Desexing Status Certificate

Live preview · prints exactly like this

Veterinary Desexing Status Certificate

Certificate Details

Date

Client's Details

First name
Last name
Address
Phone
Email

Patient's Details

Name
DOB (age)
Microchip
Colour
Gender
Species
Breed

Certification

I, the undersigned veterinary practitioner, hereby certify that the above animal:

Desexing status
Basis of determination
Notes

Veterinary Sign-Off

Veterinarian name
Registration number
Practice name and address
Phone
Date signed

Veterinarian signature

Clinic stamp

Nothing typed into this form is sent to or stored by askavet.com. All data stays in your browser and leaves only in the PDF or printout you create. Check the record-keeping requirements of your local veterinary regulator before use.

About the author

Dr Duncan Houston · BVSc, Veterinarian

Emergency careGeneral practiceMobile vet careFounder, ASK A VET™

Dr Duncan Houston is an Australian veterinarian with experience in emergency, general-practice and mobile veterinary care. He is the founder of ASK A VET™. This guide is educational and is not a substitute for hands-on veterinary care.