VCPR Form – Arnold Crescent Animal Hospital

Are You a Client?

Yes
No

What is your client ID?

How did you hear about us?

Farm Name (if applicable)

Name

First Last

Address

Street Address Address Line 2 City Province Postal Code

Home Phone

Cell Phone

Email

How Long Have You Been a Beekeeper:

OMAFRA Registration #:

Please upload your current OMAFRA registration and any other supporting document (6MB max. for all files combined).

Drop files here or

Total Number of Hives:

Number Of Yards:

Location Of Yards:

Do you have sales and/or services related to your beekeeping?

Honey
Wax
Queens/Nucs
Pollination
Other

If other, please describe:

Biosecurity for AFB Prevention

Check all that you do in your hive management/beekeeping operation:

1. Regularly disinfect hive tool(s) and smoker(s).
2. Inspect tools and equipment when moving between bee yards.
3. When using gloves, they are they disposable, and a new pair is used at each beeyard location.
4. Have a comb replacement strategy in place.
5. Purchase bees, queens, or used equipment only from sellers with a permit issued by OMAFRA.

Please describe your methods for 1, 2 and 4 above:

Have you taken the Biosecurity workshop available through the Ontario Beekeepers’ Association (OBA) Tech Transfer Program (TTP)?

Yes
No

If so, what year?

Monitoring for AFB

I am, and/or individuals conducting colony inspections on my hives are, familiar with the signs and symptoms of clinical AFB:

Yes
No
Not sure

I have, and/or individuals conducting colony inspections on my hives have, taken Integrated Pest Management (IPM) workshops available through the Ontario Beekeepers’ Association (OBA) Tech Transfer Program (TTP)?

Yes
No

If so, what year?

Reporting and Disposal of Clinical AFB

If you discovered a suspected case of AFB in your colony(ies), describe the steps you would take:

Ordering AFB Prevention

Once processed, we will prepare enough concentrated oxytetracycline to treat the total number of hives reported above.

How do you wish to receive the prescription?

Pick up at Arnold Crescent Animal Hospital
Pick up in Loretto, Ontario
Ship via Canada Post expedited service

Any other questions or comments?

Yearly VCPR Form

Biosecurity for AFB Prevention

Monitoring for AFB

Reporting and Disposal of Clinical AFB

Ordering AFB Prevention