A-Iss6_2011

F V M A ADVOCATE Issue 6 - 2010

In This Issue Updates On 

Red Flags Rule



Florida Sales & Use Tax Update



HCCE Permit Renewals

www.fvma.org

PRESIDENT’S MESSAGE T

7131 Lake Ellenor Drive Orlando, Florida 32809 407.851.3862 phone 800.992.3862 toll free 407.240.3710 fax info@fvma.org www.fvma.org

Officers

Dr. Jan M. Hasse President Dr. James A. Kanzler President-Elect Dr. Richard B. Williams Treasurer Dr. Jerry P. Shank Past President Mr. Philip J. Hinkle Executive Director

District Representatives Dr. Charles P. Hall District 1 - Big Bend Dr. Richard C. Sutliff District 2 - Northeast Dr. Jerry L. Rayburn District 3 - Central Dr. Donald H. Morgan District 4 - Tampa Bay Dr. Mark D. Dew District 5 - Treasure Coast Dr. Ronald W. Todd Jr. District 6 - South Florida Dr. Richard M. Carpenter District 7 - Southwest Dr. James M. Brechin District 8 - Northwest Dr. Christine M. Storts District 9 - Space Coast Dr. Ernest C. Godfrey AVMA Delegate Dr. Stephen Shores AVMA Alternate Delegate Ex Officio Dr. Glen F. Hoffsis, Dean College of Veterinary Medicine

FVMA Staff Sandra P. Brooks Accounting/Membership Director Ralph E. Huber Conferences Director Beni Jean Price Financial/Membership Coordinator Amber Coon Executive Administrative Assistant Brenda Eggert Brader Communications & Public Relations Director Kevin R. White Multimedia Art & Design Director

he FVMA/FAEP merger has been sanctioned by both the FVMA and the FAEP Executive Boards. A few last minute details are currently being addressed and the agreement for that merger will be finalized by the end of January. The FVMA Equine Task Force, made up of Dr. James Kanzler, Dr. Ernie Godfrey, FVMA Executive Director Phil Hinkle and myself, and the FAEP Task Force, made up of Dr. Amanda House, Dr. Suzan Oakley, Dr. J. Barry David, Dr. Robert Boswell, Dr. Corey Miller and Dr. Jacqueline Shellow, and FAEP Executive Director Eric Nygaard, have been deeply committed to seeing this merger become a reality. This will be a win/win situation for all Florida veterinarians. The FVMA will be a stronger, unified association representing the interests of all veterinarians in our state.

The FVMA’s 48th Ocala Equine Conference was held Nov.19-21 at the Ocala Breeders’ Sales Company. This year’s conference offered 30 hours of continuing education; 14 of which were lecture hours and 16 were wet lab hours. The attendance numbered 136 veterinarians, along with 40 exhibitors. This conference continues to grow; and a big thanks to Dr. J. Barry David, program advisor; FVMA Conference Director Ralph Huber and Executive Director Phil Hinkle for helping make it a tremendous success.

I would like to thank Dr. Stephen Shores, members of the FVMA Legislative Committee and all of the veterinarians who participated as 2010 PAC check presenters. Eighty checks totaling contributions of $45,250 were presented to legislators across the state during the fall political election campaign.

The FVMA is encouraging its members to become engaged and identify legislators they may have a personal relationship with and share this information with the FVMA office. Many of us have legislators who are clients, neighbors or friends. These relationships can prove to be invaluable when important legislative issues emerge that affect veterinary medicine. You can go to FVMA.org and input this information in the legislative window of our new website.

We now begin a new year and are looking back and celebrating the blessings and successes we have had. As we make New Year’s resolutions, let us not forget to tell those who are most important to us how much we love them and appreciate their love and loyalty.

I personally want to thank your FVMA Executive Board Members, Executive Director Phil Hinkle, and all the FVMA staff for all of the hard work and long hours of service they have put in this past year to make our state veterinary organization the best in the country. We are blessed to have such dedicated individuals representing us.

Jan M. Hasse, DVM FVMA President

2010 • FVMA ADVOCATE • Issue 6

IN THIS ISSUE 4 | RED FLAGS RULE:

Identity Theft Isn’t An Issue For Veterinary Practices

6 | Florida Sales & Use Tax Update 8 | HCCE Permit Renewals

Are Arriving …

Do You Need to Renew?

13 18 | FVMA 2011 Annual Operating

Budget Approved

12 | AVMA Congressional

20 | Florida Association of

13 | FVMA’s 48th Annual

22 | AVMA Soliciting

Science Fellowships: Give Your Veterinary Expertise National Impact In Washington Ocala Equine Conference

A Tremendous Success

Equine Practitioners Hosted A Very Successful 6th Annual Conference Comments On Its Model Veterinary Practice Act

www.FVMA.org

RED FLAGS RULE: Identity Theft Isn’t An Issue For Veterinary Practices

By BRENDA EGGERT BRADER FVMA Communications and Public Relations Director eterinarians have dodged implementation of the Red Flags Rule. Legislation, known as the Red Flags Rule, is now a moot point for veterinarians. The rule, dealing with identity theft protection, has been dismissed from the health-care field with the unanimously-passed U.S. House and Senate bills – the Senate, the first of December 2010 and the most recent, the U.S. House passed on Dec. 8, 2010.

The bill exempts various entities, and doesn’t explicitly mention the veterinarians, but includes them among health-care providers who are exempt from the rule.

“What it does is omit health care from the bill, of which we (veterinarians) are considered a part,” said Gina G. Luke, Assistant Director, American Veterinary Medical Association (AVMA) Governmental Relations Division in Washington, D.C. “Since we are a healthcare provider, we are good.”

The Red Flag Program Classification Act Final Bill S3987 became Public Law No. 111-319 and was signed into law on Dec. 18, 2010 by President Barack Obama, Luke said.

“payment is made after [a] product was sold or [a] service performed,” the seller or service provider has extended the recipient credit. Health-care providers are deemed to have “covered accounts” because their “continuing relationships with consumers for the provision of medical services” qualifies as an account “for personal, family, or household services that involves multiple payments or transactions.”

The Red Flags Rule, 16 C.F.R § 681.2, requires each financial institution and creditor with certain covered accounts to have identity theft prevention programs, which must provide for the identification, detection, and response to patterns, practices, or specific activities that could indicate identity theft. The FTC issued final regulations implementing Sect. 114 (Red Flags Rule), on Nov. 9, 2007. The Rule was set to become effective on Nov. 1, 2008, but the FTC suspended enforcement multiple times until this last delay through Dec. 31, 2010.

Veterinarians do not have to implement any Red Flags Rule in their practices.

History

AVMA

The issue surfaced in 2007 because the Federal Trade Commission had said that “health-care providers are creditors if they bill consumers after their services are completed,” adding “health-care providers that accept insurance are considered creditors if the consumer ultimately is responsible for the medical fees.” FTC’s basis for this interpretation was whenever

The FVMA appreciates the diligence the AVMA Government Relations Division gives to its commitment in continually maintaining its vigilant watch on legislative and regulative issues on a national level, as well as its support of the FVMA’s government relations division on the state level.

2010 • FVMA ADVOCATE • Issue 6

Florida Sales & Use Tax Update

By BRENDA EGGERT BRADER FVMA Communications and Public Relations Director

T

he Florida Department of Revenue has offered new information on taxable and non-taxable items with clarifications in its amended rules regarding sales tax that became effective on July 12, 2010 and how it affects veterinary practices.

The purpose of Rule 12A-1.0215, F.A.C. (Veterinary Sales and Services) was to update, consistent with current statutory provisions, the application of tax to drugs, medicines, and medical products, supplies, and devices used in the treatment of human disease, illness or injury and the treatment of animals.

Not being the result of legislation, the department performed an internal audit and review of current rules to ensure they were supported by current statutory authority.

As a result “Prescription diets” are now subject to state sales tax when sold to a client; and nonprescription products are subject to state sales tax when sold to a client. Items taxed are those that do not bear the statement, “Caution: Federal law restricts this drug to sale by or on the order of a licensed veterinarian.”

During the upcoming 2011 legislative session, the FVMA will seek amendments to Florida Statute 212 TAX ON SALES, USE AND OTHER TRANSACTIONS that would specifically exempt “Prescription Diets” and/or non-prescription products containing commonly recognized substances possessing curative or remedial properties from sales tax. Until successful with that legislative initiative, the FVMA encourages its members to ensure that their practices are in compliance with the current amended sales tax rules.

Sales Tax Liability Sales tax applies to the sale, rental or lease of goods (tangible personal property) and certain services in Florida unless the transaction is exempt.

The sales tax and discretionary sales surtax are added to the price of taxable goods or services and collected from the purchaser at the time of sale.

2010 • FVMA ADVOCATE • Issue 6

Veterinarians and veterinary clinics who sell taxable items must register as sales and use tax dealers to collect and pay sales tax. The sale of food for dogs, cats, birds, fish, circus animals and zoo animals, including prescription pet food that does not contain a federal drug label, is taxable. Pet products such as chains, collars, cages, soaps and detergents are taxable.

Sales tax and discretionary sales surtax are also due when a veterinarian or veterinary clinic rents or leases commercial property.

Use Tax Liability Use tax complements and is similar to sales tax. The use tax and sales tax rates are the same, including discretionary sales surtax (county tax), if applicable. Use tax and surtax apply when items are purchased without paying tax to the supplier and then used in the business or for a taxable purpose.

Use tax also applies to taxable goods and services brought into Florida untaxed, or taxed at a rate less than the sales tax rate in Florida. Items that are exempt from sales tax are also exempt from use tax.

Taxable purchases – Use tax and surtax apply to taxable supplies or items purchased tax-exempt and then used by veterinarians and veterinary clinics in providing their professional services. Some examples of common taxable items used by veterinarians are rabies tags, identification chips, rubber

gloves, disposable medical restraint collars and muzzles, and plastic vials and jars for dispensing medications. Laboratory supplies used in making diagnoses such as diagnostic kits, blood collecting tubes and needles, and x-ray films and developing solutions are taxable. Instruments and equipment purchased by a veterinarian or veterinary clinic for use in the business are also taxable. Items initially purchased tax-exempt for resale to customers (such as pet products and supplies) but then used in the business are subject to use tax and surtax, if applicable.

whether sales tax registration is required. If your business must register, you can do so on the internet site. The site will guide the veterinarians through an application interview that will help them determine their tax obligations. If the veterinarian does not have internet access, you can complete a paper Application to Collect and/or Report Tax in Florida (Form DR-1).

Failure or refusal to register for sales and use tax may subject the veterinarian or veterinary clinic to a $100 registration fee for each place of business.

Exemptions Sales tax does not apply to the following: • Professional services provided by veterinarians or veterinary clinics • Boarding charges for animals • Drugs, medicinal drugs, and veterinary prescription drugs as defined under definitions, sold or used in connection with the medical treatment of animals.

• Feed for poultry and livestock, including racehorses and fish raised for commercial purposes.

• Purchases by a veterinarian of antiseptics, absorbent cotton, gauze for bandages, lotions, hypodermic needles and syringes, vitamins, worm remedies, transdermal medications, powders and sprays designed to prevent or treat flea and tick infestations, and other commonly recognized substances, including prescription pet food possessing curative or remedial properties, when applied to or consumed by animals for alleviation of pain or the prevention of sickness, disease or suffering. However, when sold to a client substances possessing curative or remedial properties that are not required by federal or state law to be dispensed only by a prescription are subject to tax.

• Germicides used directly upon bodies or animals as a disinfectant.

• X-ray opaques (also known as opaque drugs and radiopaque) such as opaque dyes and barium sulfate, when used in connection with medical x-rays.

• The sale of food for guide dogs is exempt.

However, the purchaser must give a Consumer’s Certificate of Exemption for the Blind (Form DR-152) issued by the Department of Revenue to qualify.

Definitions used in tax law follow: • Livestock – includes all animals of the equine, bovine, or swine class, including goats, sheep, mules, horses, cattle, ratites, and other grazing animals raised for commercial purposes. The term “livestock” also includes fish raised for commercial purposes.

• Drugs, medicinal drugs and veterinary prescription drugs – means those substances or preparations commonly known as “prescription” or “legend” drugs that are required by federal or state law to be dispensed only by a prescription. The term “veterinary prescription drugs” means those drugs intended solely for veterinary use for which the label of the drug bears the statement: “Caution: Federal law restricts this drug to sale by or on the order of a licensed veterinarian.”

• Poultry – includes all domesticated birds that serve as a source of food, eggs or meat.

• Practitioners of the healing arts – includes veterinarians.

• Prescription – includes any order for drugs or medicinal products and supplies, written or communicated by a licensed practitioner authorized to prescribe medicinal drugs.

More information or forms are available on the website: www. myflorida.com/dor. To speak with a Department of Revenue representative, call Taxpayer Services, Monday through Friday, 8 a.m. to 7 p.m., at (800) 352-3671.

Registering to Collect Sales Tax Before veterinarians or veterinary clinics can engage in or conduct business in Florida, they must contact the tax department to determine

www.FVMA.org

HCCE Permit Renewals Are Arriving …

Do You Need To Renew?

By BRENDA EGGERT BRADER FVMA Communications and Public Relations Director

T

he Health Care Clinic Establishment (HCCE) Permit renewals are now being received by Florida veterinarians. Because of those renewals, the Florida Veterinary Medical Association has been receiving an abundance of questions from veterinarians. In an attempt to help members evaluate their need for the HCCE Permit, the following information has been compiled.

The Health Care Clinic Establishment (HCCE) Permit was established (in 2008, effective Jan. 1, 2009) to bring practitioners into compliance and legislatively allows corporations to purchase and maintain prescription drugs in one corporate inventory to be dispensed by qualify 2010 • FVMA ADVOCATE • Issue 6

ing practitioners in their employ. However, a licensed veterinarian has, and continues to have, the legal authority to purchase and own prescription drugs under his/her own license even if he/she is incorporated, as long as his/her name and license number is on all invoices and records pertaining to prescription drugs.

Furthermore, the Drugs, Devices and Cosmetics Program of the Department of Health does not intend to enforce an interpretation of the law that would prohibit the use of Rx drugs by practitioners at an establishment in a group practice that were purchased by another member of the group practice at that establishment.

Briefly, the three main points each veterinarian needs to know for the HCCE permit are as follows: • The HCCE Permit is required by any multiveterinarian clinic or solo practitioner who orders his/her drugs through a corporation’s name. The permit covers all the practitioners in a group practice, but requires a “qualifying practitioner” be named on the permit and that practitioner is responsible for all record keeping, storage and handling of all prescription drugs ordered and dispensed under the HCCE. • Individual practices where there is a sole practitioner operating under a fictitious name and ordering prescription drugs under the veterinarian’s own name and license, do not need the HCCE permit.

• Veterinarians who have previously been issued a permit, but who have now decided to purchase drugs under their individual license instead, should return the renewal notices to the Department of Health, Drugs, Devices and Cosmetics Program by fax. Written at the bottom of the faxed permit should be the statement: “We are not renewing this permit because we are going to be ordering drugs through the doctor’s name.” Fax it to (850) 413-6982.

An HCCE Permit, unless suspended or revoked, automatically expires two years after the last day of the anniversary month in which the permit was originally issued. A permit issued under ss. 499.001-499.081 may be renewed by making application for renewal on forms furnished by the department and paying the appropriate fees. If a renewal application and fee are submitted and postmarked after the expiration date of the permit, the permit may be renewed only upon payment of a late renewal delinquent fee of $100, plus the required renewal fee, not later than 60 days after the expiration.

The renewal fee for the HCCE Permit is $255, good for two years and it covers all the practitioners in a group practice. The permit does require that a “qualifying practitioner” be named on the permit and that the practitioner is responsible for the record keeping, storage and handling of all prescription drugs ordered and dispensed under the HCCE. According to Florida State Statute 456.001, “a qualifying practitioner is a licensed healthcare practitioner as defined in the state statute or a veterinarian licensed under Florida State Statue 474, who is authorized under the appropriate practice act to prescribe and administer a prescription drug.”

History Originally, the Florida State Department of Health was of the opinion that each veterinarian in a multi-veterinarian corporation clinic would have to purchase his/her own supply of prescription drugs to be able to prescribe those drugs for his/her patients. This requirement would have created a devastating impact on our profession. In order for FVMA members to continue operating as they have for decades, the FVMA worked on language with the Department of Health that would allow corporations the ability to purchase and own prescription drugs under the name of the corporation. As a result of that compromise, the HCCE permit was created.

Previous to the compromise, the DOH had been adamant that a corporation was not authorized by law to purchase and own prescription drugs and that the long-standing practice of doing so was illegal. While the veterinarian is authorized to purchase drugs under his/her name and license, the Premises Permit gives no such authorization.

Further questions concerning HCCE Permits should be directed to Natasha Lafaille, of the Drugs, Devices and Cosmetics Program, DOH, who encourages questions on HCCE permits directly to her email at Natasha_Lafaille@ doh.state.FL.US. Her direct telephone line is (850) 2454444, extension 3862, 8 a.m. to 5 p.m. Monday through Friday.

Additional information is also available on the FVMA website, www.FVMA.org, under Member Alerts.

Veterinarians who have previously been issued a permit, but who have now decided to purchase drugs under their individual license instead, should return the renewal notices to the Department of Health, Drugs, Devices and Cosmetics Program by fax. Written at the bottom of the faxed permit should be the statement: “We are not renewing this permit because we are going to be ordering drugs through the doctor’s name.” Fax it to (850) 413-6982. www.FVMA.org

Drugs, Devices & Cosmetics Program – BASIC PERMIT REQUIREMENTS Health Care Clinic Establishment (HCCE) Permit – Effective January 1, 2009, the Drugs, Devices and Cosmetics Program will begin issuing HCCE permits, in accordance with section 499.01(2)(t), Florida Statutes (F.S.) Who needs an HCCE permit?

An HCCE permit is required for the purchase of a prescription (Rx) drug by a place of business at one general location owned and operated by a professional corporation or a professional limited liability company described in chapter 621, F.S., or a corporation that employs a veterinarian as a qualifying practitioner, and wishes to purchase and own prescription drugs in the business entity’s name.

Greenbrier

Y o u r A f t e r l i f e P e t C a r e S p e c i a l i s t s

We look forward to 2011 with great anticipation.

As we gear up for the year, launching new innovative products and packages,We keep in mind that your success is our success.

Thank you for 30 years of your continuing support. We hope 2011 brings good fortune and health to you & your families.

Have a Safe & Happy Holiday!

800 800--257 257--2107 greenbrierpets.com * greenpr3@earthlink.net 10 2010 • FVMA ADVOCATE • Issue 6

What is a “qualifying practitioner?”

• A “qualifying practitioner” (QP) is a licensed health care practitioner defined in s. 456.001, F.S., or a veterinarian licensed under chapter 474, F.S., who is authorized under the appropriate practice act to prescribe and administer a prescription drug.

• The following licensees may be designated as a QP: 1. Medical Doctor (M.D.) 2. Osteopathic Physician (D.O.) 3. Physician Assistant (P.A.) 4. Advanced Registered Nurse Practitioner (ARNP) 5. Optometrist (O.D.) 6. Podiatric Physician (D.P.M.) 7. Dentist (D.D.S., D.M.D.) 8. Veterinarian (D.V.M.) 9. Chiropractic Physician (D.C.) • The QP is responsible for ensuring compliance with all legal and regulatory requirements related to the purchase, record keeping, storage, and handling of prescription drugs.

• A violation of Chapter 499, F.S., by the HCCE or Designated Qualifying Practitioner constitutes grounds for discipline of the Designated Qualifying Practitioner by the appropriate regulatory board.

• The HCCE must employ a QP at each establishment.

Qualified Practitioner Changes • The initial appointment of a qualifying practitioner will be made on the HCCE permit application.

• The qualifying practitioner and HCCE must notify the department within ten (10) days of any subsequent change in the qualifying practitioner.

– Health Care Clinic Establishment Permit

Q & A

Quick Reference Guide

FREQUENTLY ASKED QUESTIONS

Q1 – Is the HCCE permit required for a “sole practitioner” to purchase Rx drugs?

A1 – The HCCE permit is not required for a practitioner to purchase Rx drugs under his/her personal license.

Q6 – Are there any restrictions on the type of drugs that can be purchased by a HCCE? A6 – A HCCE permit may only purchase Rx drugs that the Designated Qualifying Practitioner is authorized to prescribe.

Q2 – Can practitioners in a group practice administer drugs purchased by another practitioner in the group practice?

A2 –The Department does not intend to enforce an interpretation of the law that would prohibit the use of Rx drugs by practitioners at an establishment in a group practice that were purchased by another member of the group practice at that establishment.

Q7 – Which business organizations do not qualify for the HCCE permit to purchase Rx drugs in the business name?

A7 – There are several forms of business structures that do not qualify for the HCCE permit.

Here is a list of examples: Limited Liability, Partnerships, Not-for-Profit Corporations and Sole Proprietor operating under a Fictitious Name.

Q3 – Can a HCCE permit transfer Rx drugs to other practice locations?

A3 – Drugs purchased by this permit are for use at the licensed establishment.

Q4 – Does an “S” corporation qualify for the HCCE permit?

A4 – An “S” corporation that employs a veterinarian as a Qualifying Practitioner may qualify for the HCCE permit.

Q5 – Who are authorized sources from which a HCCE permit may purchase Rx drugs?

A5 – All sources of Rx drugs must be licensed by the Department of Health to distribute Rx drugs.

See list below: 1. Prescription Drug Manufacturer 2. Prescription Drug Repackager 3. Prescription Drug Wholesale Distributor 4. Non-Resident Prescription Drug Manufacturer 5. Out of State Prescription Drug Wholesaler Distributor 6. Compressed Medical Gas Manufacturer 7. Compressed Medical Gas Wholesaler 8. Veterinary Prescription Drug Wholesale Distributor 9. Limited Prescription Drug Veterinary Wholesale Distributor

Q8 – What is the difference in the HCCE permit issued by the Department of Health and the Health Care Clinic license issued by the Agency for Health Care Administration (AHCA)?

A8 – The HCCE permit issued by the Department of Health is authorized to purchase Rx Drugs. A Health Care Clinic licensed by AHCA under the Health Care Clinic Act (section 400.990-400.995, Florida Statutes) is not authorized to purchase Rx drugs.

Q9 – Can a HCCE continue to purchase Rx drugs if the QP resigns?

A9 – No. The purchase of Rx drugs by a HCCE is prohibited during any time the HCCE does not have a QP. APPLICATION INSTRUCTIONS Application Requirements • Complete and submit form DH-MQA 2360 (12/08) and remit with $255 application fee.

• Must designate a qualifying practitioner.

• An inspection is not required with initial application.

Address for Mailing Application Department of Health Division of Medical Quality Assurance P.O. Box 6320 Tallahassee, FL 32314-6320 Renewal The HCCE permit is valid for 2 years.

Permit renewal fee is $255.

www.FVMA.org 11

AVMA Congressional Science Fellowships: Give Your Veterinary Expertise National Impact In Washington

By BRENDA EGGERT BRADER FVMA Communications and Public Relations Director

F

ulfill your dreams in putting your veterinary expertise to work with the nation’s decision makers by becoming an American Veterinary Medical Association Congressional Science Fellow. The fellowship program provides a unique opportunity to serve for one year in Washington, D.C., as scientific advisor to members of Congress. Fellows play pivotal roles in shaping and influencing key legislation that affects the veterinary profession and the health and safety of the nation.

Every veterinarian possesses the skills needed to make a difference – from recent veterinary school graduates to veterinarians with years of experience. The fellowship is an unparalleled opportunity to shape public policy while enhancing your knowledge of the political process.

AVMA fellows represent the veterinary profession in the legislative branch of government through working in Congress with a member, on a committee staff or in the Executive Office in such departments as the Department of Homeland Security or the U.S. Agency for International Development (USAID).

Participants use science-based decision making in public policy development, influence important public policy discussions, and network and meet government employees, news makers, media personalities and other veterinarians in public policy.

The 2011-2012 AVMA Congressional Science Fellowship Program, in conjunction with the American Association for the Advancement of Science Fellowship Program, will run from the last week in August 2011 until August 2012.

The AVMA provides Fellows with a substantial stipend to offset the cost of living in Washington, D.C., as well as reimbursement for certain expenses incurred during the Fellowship.

12 2010 • FVMA ADVOCATE • Issue 6

Additional funds, up to $6, 000, are provided to offset the cost of the health insurance premiums.

In order to be considered for an AVMA Congressional Science Fellowship, a participant must be a U.S. citizen, an AVMA member, demonstrate competence in veterinary medicine, have an interest in public policy and/or politics, and in applying scientific knowledge to address societal and public policy issues. That person must also be able to identify and articulate core scientific issues to a variety of audiences and possess strong persuasive writing skills.

Anyone selected as an AVMA Congressional Science Fellow will be required to resign from any AVMA or constituent organization legislative bodies, councils, committees, task forces, or any AVMA or constituent offices.

The AVMA is now accepting applications for the 2011-2012 year. Besides the application, the submitted information must include a letter of intent, curriculum vitae, a letter of support from the applicant’s local, state, specialty or allied veterinary medical association, two letters of reference from professional colleagues and a personal statement (750-word limit) describing your qualifications, commitment to veterinary medicine and reasons for pursuing the Fellowship.

Applications are available online at http:// www.avma.org/advocacy/get_involved/fellowships.asp. Questions may be directed to Dotty Gray at (800)-321-1473, ext. 3209 or email questions to Fellowship@avma.org. The application deadline is Feb. 11, 2011.

FVMA’S 48 ANNUAL OCALA EQUINE CONFERENCE th

A Special Thank You To Our Event Hosts Ocala Breeders’ Sales Company for hosting the Conference General Sessions Ocala Breeders’ Sales Company 1701 S.W. 60th St. • Ocala, FL 34474

Equine Medical Center of Ocala for hosting the Monday Ultrasound Wet Lab Equine Medical Center of Ocala 7107 W. State Road 326 • Ocala, FL 34482

Peterson & Smith Equine Hospital for hosting the Friday Ultrasound Wet Lab Peterson & Smith Equine Hospital 4747 S.W. 60th Ave. • Ocala, FL 34474 www.FVMA.org 13

FVMA’s 48th Annual Equine Conference:

By BRENDA EGGERT BRADER FVMA Communications and Public Relations Director

14 2010 • FVMA ADVOCATE • Issue 6

T

he very latest in advanced equine medicine was presented by internationally acclaimed speakers at the 48th Annual Ocala Equine Conference held Nov. 19-22, 2010 at the Ocala Breeders’ Sales Company. The continuing education tracks were filled with valuable and useful information for veterinarians to use in their practices to benefit their patients.

Wet labs in reproductive ultrasound and musculoskeletal ultrasound were a tremendous draw with the original Friday musculoskeletal lab filling up so quickly that another wet lab of the same caliber was added. The addition of wet lab offerings to the conference in 2009 and this year have significantly added to the overall attractiveness and increased attendance numbers. This year’s conference offered 30 hours of continuing education, 14 of which were lecture hours and 16 were the wet lab hours.

“It was highly informative for me,” said Dr. Carolin A. Von Rosenberg of Florida, who attended both sessions of the musculoskeletal wet lab. “I do mostly reproductive work and wanted to go to the other side and see what was happening there. I found it extremely interesting and Dr. (Chris) Sanchez (Rapid Abdomen Ultrasound) explained about the acute abdomen that I found fascinating and learned about new things. I would attend the conference again, absolutely.”

Several general sessions were offered at the event that included “An Integrated Approach to Improve the Outcome of Soft Tissues Injuries” and “Use of Sequential Ultrasound Exams to Guide Rehabilitation of the Soft Tissue Injuries,” both presented by Dr. Carol Gillis; “Colic: What Parameters are Most Helpful in Making Decisions” and “Gastric and Colonic Ulcers Management,” both by Dr. Frank Andrews; “Equine Infectious Diseases – Emerging Issues,” and “Interesting Cases with Newer Diagnostics or Treatments,” both by Dr. Tom Divers; “Whole Blood Transfusion and Periparturient Hemorrhage,“ both by Dr. J. Barry David, and “Equine Cushing’s Disease: From Hirsutism to Optimism” and “Equine Metabolic Syndrome: Beyond Fat & Foundered,” both presented by Dr. Marian Little. “Equine Corneal Disease,” in two parts, were offered

by Dr. Dennis E. Brooks, and Dr. Michelle LeBlanc presented “Diagnostic Findings from Your Reproductive Exam – What Do They Really Mean? and Reproduction Cases: It’s Your Turn Now.” “This conference for content and quality of speakers is the best I’ve been to in a long, long time,” said Dr. Brad Brown of Shelbyville, KY. Details in the continuing education made the courses immensely beneficial for those attending. Dr. Joe Bertone presented a first lab focusing on the tendinous and ligamentous structures in the palmar or plantar aspects of the front and/or hind limbs of the horse with a second focusing

A Tremendous Success! on the evaluation of joints. Another lab concentration was on the joint and the focus was on the ultrasound examination of the normal and abnormal stifle, hock, carpus and neck. Each lab was limited to 16 participants with four participants in each of four imaging stations so learning and viewing procedures were beneficial to all.

“All instructors were very knowledgeable and helpful,” said Dr. Megan Meyers of Odessa who attended the musculoskeletal wet lab. “The small groups made it easy to get lots of hands-on time.”

By using the Ocala Breeders’ Sales Company this year, space was available to easily accommodate the attendees. The Horsemen’s Café, used as the exhibit hall, enabled the FVMA to expand the number of exhibitors to 40 this year, up from 31 in 2009.

“The information on new products and existing products was great,” said Dr. Sarah Campman of Washington, PA, concerning the amount and variety of exhibitors at the conference.

The Marketplace Cover-All Bingo was held for the first time at the 48th Annual Ocala Equine Conference. A popular program initiated at the FVMA annual spring conference, winners, above, gathered to collect their prizes before leaving the Ocala equine conference. To play, participants visit each vendor in the exhibit hall, have their cards stamped and then toss the filled cards in a common bin. Once mixed up in the bin, cards are pulled from the bin indicating the prize winners.

“This conference for content and quality of speakers is the best I’ve been to in a long, long time,” said Dr. Brad Brown of Shelbyville, KY. Dr. April Chitrakar, who owns the Southern California Racetracks practice in Los Angeles said, “I am looking to buy a few products represented here (at the conference). I got some helpful information and contacts.”

The FVMA greatly appreciates the Peterson & Smith Equine Hospital and the Equine Medical Center of Ocala who contributed the use of their first-class facilities so the Association could present its continuing education wet labs.

Without their support, that endeavor would have been much more difficult. The FVMA recognizes the contributions its sponsors and the industry partners make at each and every conference; when the FVMA asks for their support, they are there. With that support, the FVMA is able to offer quality programs at affordable fees.

Universal Ultrasound was FVMA’s principal sponsor of the three ultrasound wet labs, with contributions from Pfizer, Butler-Schein Animal Health and Intervet/Schering-Plough.

Conference Growth Since modifying the Ocala Equine Conference Continuing Education Tracks, the FVMA has experienced an increase in the attendance rate of more than 400 percent over the past several years.

The success of a good conference is measured by the amount of useful information participants have reaped from lectures and wet labs. Judging from veterinarians’ comments, the Ocala Equine Conference provided that unique experience. www.FVMA.org 15

We would like to thank our Conference Sponsors

Their support of this program keep

2010 Ocala Equine Exhibitors AAA Equine Equipment Abaxis Adequan Advantage Partners, Inc Andersen Products, Inc. Arenus Boehringer Ingelheim Butler Schein Animal Health DVM Endoscopy DVM Resources E3Live For Horses Elsevier Saunders-Mosby Fertility Technology Resources, Inc. Florida Association of Equine Practitioners Franck’s Compounding Labs Greenbrier Hallowell EMC Harvest Technologies Haygain Hay Steamers Intervet/Schering Plough

Wet Lab Sponsors Universal Ultrasound Pfizer Butler Schein Intervet/Schering-Plough The Equine Hospitals Peterson & Smith Equine Hospital Equine Medical Center of Ocala 16 2010 • FVMA ADVOCATE • Issue 6

Show Sponsors Aventix Boehringer-Ingelheim Equine Veterinary Journal, Ltd. Equi-Fab/Horse Necessities Greenbrier Intervet/Schering-Plough MBC – Midland Bio-Products Universal Ultrasound Wedgewood Pharmacy

Lloyd, Inc. Merial Merritt Vet Supply Mg Biologics MIE America, Inc. Milburn Pet Angel World Services Pfizer Animal Health Prota, LLC. ProVet Logic Seminole Feed Sound-Eklin Swissvet Veterinary Products System Vet Universal Ultrasound Vet Imaging Vet Ray Technology by Sedecal Vetel Diagnostics Wellpride Wickliffe

s and Marketplace Exhibitors for their support!

ps your registration fees affordable.

“Congratulations on another stellar year! It (48th Annual Ocala Equine Conference) was a huge success. Today at lunch I sat with two veterinarians, one from Georgia and one from South Carolina, who were both raving about the wet labs. Both of them want to make sure they are on the mailing list for future meetings. There was lots of good feedback from the representatives (exhibitors) regarding booth traffic and the way the schedule worked out. The hour-long break on Sunday morning was a great idea. We got lots of contact and then were able to pack up and head home. You are really going to have a hard time topping this one.”

Donna DuRant, senior sales representative, Equine Division, Boehringer Ingelheim Vetmedica, Inc.

www.FVMA.org 17

FVMA 2011 Annual Operating Budget Approved

Income

Expenses

18 2010 • FVMA ADVOCATE • Issue 6

Administrative & Financial Affairs Membership Dues Interest Income Special Project Funding from Reserves

Administrative & Financial Affairs $ 543,318 5,000 25,000

Legislative & Financial Affairs CCE Committee of Continuing Existence

$ 20,000

Membership Services Program Member Services Income

FVMA Website

$ 74,800 14,000

Inter-Professional Relations FVMA Foundation

$ 3,000

Educational Affairs Annual Conference FAEP Council

$ 420,000 400,000

Total Income

10,000

Utilities

10,000

Prof Liab/Prop Casualty Insurance

7,000

Property Taxes

8,000

Dues & Subscriptions

1,100

Accounting Services

6,500

Legal Counsel

5,000

C.E. Staff

3,000

Repairs & Maintenance

11,400

Equip. Lease/Service Contracts

12,100

Board & Officers Travel

30,100

Committee Travel/Expenses

20,500

28,000

President’s Expenses

4,000

25,000

FVMA Elections

4,000

Memorials/Flowers/Gifts

2,000

3,500

Membership Retention/Recruitment

Communications & Public Relations

FVMA Website

Office Equipment

1,000

5,500

Advocate Advertising

20,000

Outreach

Food Animal Conference

Veterinary Technician Committee

9,000

Office Supplies

6,000

55,000

Pharmacy Self Study

Postage

$ 15,000

Staff Travel

Ocala Equine Conference Regional Seminar Expenses

Telephone/Fax/Emails

$ 42,000 40,000 $ 1,704,118

Expenses Legislative & Financial Affairs Legislative Services

$ 38,000

Lobbying Expenses

3,000

Staff Compensation Payroll Taxes

20,000 387,277 33,533

Benefits Administration-PBS

6,468

Executive Director H S A

6,000

Employee Health Insurance

45,170

Retirement - Staff

19,364

Workers Compensation

1,007

Sub-Contract Sr. Veterinary Consultant

5,000

Credit Card/Bank Fees

18,000

Legislator Contact Program

15,000

Operating Contingency

5,000

Legal Counsel Legislation

10,000

Special Project Funding

25,000

Legislative Contingency

15,000

CCE Committee of Continuing Existence

20,000

Educational Affairs Annual Conference FAEP Council

$ 285,599 385,000

Ocala Equine Conference

40,000

Food Animal Conference

4,000

Inter-Professional Relations AVMA Support FVMA Foundation Payout

3,000

North American Veterinary Conference

4,000

Communications & Public Relations Advocate Expenses

Regional Seminar Expenses

22,000

FVMA Website Develop/Maintenance

Pharmacy Self Study

12,500

FVMA Awards

Veterinary Technician Committee

1,000

Membership Services Program Industry Advisory Council

$ 1,500

$ 15,000

FVMA Leadership Conference

$ 40,000 18,000 4,000 10,000

Total Expenses

$ 1,704,118

Net Income or (Loss)

$ –

Florida Veterinary Medical Association, Inc. • 2011 Approved Budget

Income

www.FVMA.org 19

Florida Association of Equine Practitioners Hosted A Very Successful 6th Annual Conference

By BRENDA EGGERT BRADER FVMA Communications and Public Relations Director

T

he Florida Association of Equine Practitioners held its Sixth Annual Promoting Excellence Symposium on Nov. 4-7 at the Rosen Shingle Creek in Orlando. The event was an invitation for attendees to hear well-known speakers offering in depth coverage on lameness and sports medicine in the equine athlete. Adding to the program was the cutting edge Imaging Wet Lab on Sunday.

Of the 175 symposium attendees, who arrived from all over the United States and from Italy and Ireland, the event presented 19 hours of continuing education with seven hours for the Imaging Wet Lab. The Imaging Wet Lab, held off-site at the Disney World’s Tri-Circle D Ranch, began with an introductory lecture by Dr. Mary Beth Whitcomb followed by five rotating stations with all presenters. That event sold out its 30-attendee spaces and generated a waiting list.

Symposium Continuing Education Topics were varied and informative at the equine conference zeroing in on an expansive and comprehensive selection of information that offered intense instruction on the equine athlete. Topics included “Respiratory Disease” by Dr. Jim Robertson; “Stem Cell Therapy in Equine Orthopedics”

by Dr. Bob Harmon, and “Stem Cells in Arthritis, Soft Tissue Injuries and Joint Pain Management Medications” presented by Dr. David 20 2010 • FVMA ADVOCATE • Issue 6

Frisbie. “Maximizing the Value of Intralesional Injections” was divided into two parts with the first part being a focus on the accurate diagnosis of distal limb (metacarpus/metatarsus/pastern) injuries including how to avoid common ultrasonographic misinterpretations, and the second part focusing on tips to improve accuracy of ultrasound guided injections, all presented by Dr. Mary Beth Whitcomb. “Stifle Ultrasonography for Medical and Lateral Femorotibial Joint Abnormalities” was another topic tackled by Dr. Whitcomb.

Everything about the equine athlete was the focus of the event. Some other continuing education topics, but not all, included “The Body and Organ System Compromise Affecting the Performance Horse with Emphasis on Lower Respiratory Disease” presented

by Dr. Doug Byars; Dr. Steve Reed presented “Cervical Vertebral Stenotic Myelopathy,” and Dr. Dirk Vanderwall presented “Suppression of Undesirable Reproduction Behavior in Mares and Stallions,” and “Breeding the Performance Mare during and after her Athletic Career.”

“Our goal was to offer a very high quality continuing education meeting for the equine practitioner in a resort setting” said Dr. Jacqueline Shellow, President of the FAEP. “One of the best things about the FAEP Symposium is that it has drawn equine practitioners together in the

state of Florida,” said Dr. K. Leann Kuebelbeck, FAEP Past President.

“Before the inception of the FAEP, there wasn’t an opportunity to gather equine veterinarians together in the state. It (symposium) has been a great way to bring our colleagues around the state together to foster personal and professional relationships. Every year the FAEP brings in some of the best equine speakers in the world. The venue is small enough to allow ample one-on-one time with these outstanding speakers. This provides us a great opportunity as equine practitioners to interact with the industry leaders.”

The selection of symposium topics is something that is tackled by “the board (members) together as a group,” said Dr. J. Barry David, FAEP board member. “They attempt to decide and identify topics that we feel are relevant to the year. We then decide what speakers would best suit our needs at the time and try to get the expert in each field, if we can.”

Extras How-To Presentations, patterned after American Association of Equine Practitioners (AAEP) national meetings’ classes of the same name, are 15- to 20-minute presentations that offer information on innovative ways to perform tests and tasks.

Presented topics included “Performing Intrathecal Injection of the Carpal Synovial Sheath” by Dr. Alison J.

Seminole Feed, Boehringer Ingelheim Vetmedica, Inc.; Bayer Healthcare LLC, Great American Insurance, The Sanctuary, Platinum Performance, Franck’s Pharmacy, Milburn, Wedgewood Pharmacy, Merial, Wickliffe Pharmacy, MWI Veterinary Supply, Intervet/Schering Plough, Butler, Vet Imaging, Kentucky Equine Research.

Receptions

Morton; “Use of Functional Electrical Stimulation (FES) for Rehabilitation after Stem Cell Therapy” by Dr. Sheila J. Schils; “Collecting a Bronchoalveolar Lavage in the Field” by Dr. Martha Mallicote; “How to Use Stem Cells Obtained from Peripheral Blood in Dermatology and Ophthalmology”

by Dr. Marco Polettini; “Use of EXCEDE — Sustained, Released, Injectable Antibiotic for Horses” by Dr. Mark Crisman and 15 minutes on “How to Evaluate Equine Nutritional Supplements” by Kelly R. Vineyard, Ph.D. “They have ‘How-To Presentations’ at the American Association of Equine Practitioners (AAEP) national meetings,” Dr. David said. “In any facet of equine veterinary medicine where we feel new techniques and approaches may be applicable to the private sector, we offer these in this symposium that show new, practical veterinary techniques.”

An hour-long discussion panel on regenerative medicine was presented.

Exhibit Hall Veterinarians were presented the opportunity to learn what is available, new and on the horizon to benefit the equine medical and veterinary field.

With all the vendors in one place in the Exhibit Hall, time could be spent in that discovery and conversation.

FAEP sponsors throughout 2010 have been the following: Pfizer, Adequan,

To keep up with friends and colleagues, a cocktail reception is held each evening in the trade show hall made festive and first class with the serving of beverages and the passing of hors d’oeuvres. The small, intimate group of equine practitioners looks forward to socializing and sharing knowledge and conversation. An attendees’ luncheon is also shared during the event giving yet another opportunity for socializing.

“The reception the first night is an open affair in the exhibit hall that brings veterinarians and exhibitors together,” Dr. Kuebelbeck said. “We also have been friends with the industry representatives (vendors) for a long time and it is a great way to talk, rekindle friendships and create new friends.”

Awards and Honors FAEP outgoing board members were honored during the symposium.

Dr. Amanda House, outgoing 2010 President; Dr. Corey Miller, outgoing treasurer; and Dr. Wes Sutter and Dr. Maria Cadario, both outgoing board members, were honored for their service and contributions to the organization and for their many volunteer hours and sacrifices for the FAEP. The FAEP also presented the Lifetime Achievement Award to Dr. Tom Brokken.

“I think the goal of the FAEP is always quality continuing education in a nice environment,” Dr. David said.

“Professional excellence is the goal of the FAEP.”

www.FVMA.org 21

AVMA Soliciting Comments On Its Model Veterinary Practice Act n order to help shape the future of veterinary medicine, the American Veterinary Medical Association (AVMA) is soliciting comments from veterinarians and veterinary health-care team members on its Model Veterinary Practice Act (MVPA).

The current MVPA, which was last reviewed in 2003, includes sections on definitions, veterinary medical boards, licensing, client confidentiality, veterinary education, veterinary technicians and technologists, abandoned animals, cruelty to animals, and other topics.

“This is an excellent opportunity for veterinarians and members of veterinary health-care teams – as well as pet owners, the public, farmers or really anybody who cares about animals and veterinary medicine – to offer input that will help guide the profession,” said Dr. John Scamahorn, chairman of the AVMA Model Veterinary Practice Act Task Force. “The Model Veterinary Practiced Act is used by state legislatures and state veterinary licensing and exam boards to help shape the rules and laws that govern the course of veterinary medicine.”

The first AVMA Model Veterinary Practice Act was developed by the Judicial Council of the AVMA, in cooperation with Professor N. William Hines of the University of Iowa College of Law, in the early 1960s. The AVMA House of Delegates approved this first MVPA in 1964, and since then, the MVPA has been revised several times to reflect professional, technological, and societal changes.

For more information, visit www.avma.org

22 2010 • FVMA ADVOCATE • Issue 6

By BRENDA EGGERT BRADER FVMA Communications and Public Relations Director

The AVMA is encouraging all interested parties to get involved, provide informed comments, and to visit the MVPA on the AVMA website to become familiar with what information is needed and the vast array of sections available for comments. The current MVPA is available for public view on the AVMA website at http://www.avma.org/issues/policy/mvpa.asp.

Organizations and individuals can make comments about the MVPA on the AVMA website during the 30-day public comment period scheduled to start in January 2011. The AVMA requests that the comments submitted be specific and include suggested language for the new MVPA. “We’re hoping veterinarians will take time to review the many provisions of the act in advance of the comment period,” said Dr. Ron DeHaven, chief executive officer of AVMA. “Some allied and constituent organizations may even choose to meet in order to come to consensus on their comments (to be submitted). We encourage these discussions about the future of veterinary medicine.”

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26 2010 • FVMA ADVOCATE • Issue 6

CLASSIFIED ADVERTISEMENTS RELIEF VETERINARIANS

Experienced small animal veterinarian willing to serve Central Orlando, Daytona, Altamonte, Casselberry, Longwood, Winter Springs and Oviedo areas. Other locations are negotiable. Excellent client communication, compassionate care and respect for your staff are of the utmost importance. Call Tiffany Lewis at 321-332-4949 or email: tlewisdvm@gmail.com. (Exp. Issue 8/10:10579) Part time/relief vet available -Small animal interest, ACP and integrative med, available in Jan/Feb/Mar 2011. Port Charlotte area, good skills, 34 yrs experience, and 20 yrs relief. Contact Dr. Michael Lifsey at Mlife109@yahoo.com or 517-803-7737, Cell. (Exp. Issue 7/10:10738) Relief or part-time veterinarian available in the Tampa area 30 years of experience as a practice owner. Enjoy surgery and working with people, small animal only. Call Dr. Joe Priest at 813-230-5998. (Exp. Issue 6/10:1289) Veterinary Relief Service: Central Florida. 55 years Veterinary experience; 30 as practice owner, 25 as relief service. J.D. Lynch D.V.M. 407 620 2697 (Exp. Issue 6/10:1124) Relief Vet Wanted in Key West: Looking for relief vet for small animal emergency hospital Key West, FL. Dates November 6-13, 2010.

Also looking for every third weekend. Call 305-396-7628 ask for Tia. (Exp. Issue 6/10:15392) Experienced small animal Veterinarian - Founded three hospitals, excellent client communication, compassionate care and respect for your staff are of the utmost importance, anywhere in Florida R.A. Swiezy, DVM – (772) 418-1939. (Exp. Issue 6/10:557) Experienced Relief Veterinarian Available For Orlando And Surrounding Areas: Small Animal practitioner with over 20 years service to Central Florida including 10 years of practice ownership. Excellent communication skills and client pleasing personality to maximize returns!

Good diagnostic, medical, and surgical skill sets. Please contact Dr. Brian K. Martin at (407) 461-3722 or bkmpetvet @aol.com (Exp. Issue 6/10:2755)

PRACTICES FOR SALE

Veterinary Building for Lease or Sale in St. Petersburg, FL - Established small animal clinic at site for 30 years. Approximately 5000 square foot building with separate boarding and grooming facilities, one block east of US HWY 19. Easily accessed from all directions with large parking lot. 5 exam rooms, 2 surgeries, isolation room, large pharmacy, lab and treatment area, 2 dr. offices, large reception area, 10 indoor runs and 11 outdoor runs. Available January 1, 2011. MUST SEE! Call Dr. Bill Goldston @ 727-526-3137. (Exp. Issue 6/10:1103) Practice For Sale - Health forces immediate sale of 35 year old small animal, with property in Zephyrhills, FL. Turn key ready with equipment, meds, and active files. Low overhead, high net business with satellite clinic in near village: 352-206-4169. (Exp. Issue 6/10:9402) Established, highly profitable, mobile practice for sale in beautiful Naples, FL. Pet-friendly paradise with many exclusive communities, high-end neighborhoods, and white sandy beaches. Large client base with extremely loyal clientele. Full service clinic with all of the equipment, supplies, and systems needed to practice the highest quality medicine. Contact 239-404-5796 or dena.baker.dvm@gmail.com. (Exp. Issue 6/10:4771) For Rent or Sale: Estero, FL 1500 sq ft clinic, built out, in modern medical complex, exc move-in condition, 3 exam rooms, surgery, prep/treatment, kitchen, 2 full baths, office/reception areas, low maintenance interior. Or buy this condo. Call Dan Wolf 813-881-9799 (Exp. Issue 7/10:3872) Southwest Georgia, mostly small animal practice with some cattle and horses. Practice includes hospital and 5 acres with room to expand. Seasoned friendly staff. 2009 Gross Income of $575,000 provides plenty of income. E-mail Bo Williamson, DVM at bwilliamsondvm@vivavetpractice.com or call 513-919-9105.

(Exp. Issue 7/10:17296)

Veterinary Practices For Sale Florida: Bay County—2,600sf SA w/RE. 3 exam rooms. FL50.

Belle Glade-1,320sf SA w/RE. 2 exam rooms. FL37.

Cocoa-2,100sf SA w/RE. 2 exam rooms. FL31.

Palm Beach County-2,825sf SA. 4 exam rooms. FL39.

Georgia: Clarke County-2,269sf SA w/RE. 3 exam rooms. GA15.

Fulton County-3,300sf SA w/RE. 2 exam rooms. GA13 Toombs County– 2,300sf SA w/RE. 2 exam rooms. GA16.

Arkansas: Cleburne County-1,800sf SA w/RE . 2 exam rooms. AR1.

California: Los Angeles County-2,500sf SA. 4 exam rooms. CA5.

New Jersey: Monmouth County– Multi-doctor SA w/RE. 3 exam rooms. NJ3.

North Carolina: Buncombe County-3,000sf Feline clinic w/RE. 3 exam rooms. NC7.

South Carolina: Lexington County-2,000sf SA w/RE. 2 exam rooms. SC2.

Virginia: Southeastern VA—4,200sf Multi-doctor SA w/RE. 4 exam rooms. VA5.

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www.FVMA.org 27

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