Name * First Name Last Name Pet's Name * Where did you get your puppy? * (e.g., breeder, shelter, stray)? Where did you acquire your puppy from? * Has your puppy had any previous veterinary visits? * If so, when and for what reasons? Is your puppy going to be socialized? * Do you plan to spay/neuter? Yes No Not Sure Yet Is your puppy microchipped? Yes No How would you describe your puppy’s overall health? * What kind of food does your puppy eat, and how often? * Is your puppy drinking water normally? Is your puppy urinating and defecating normally? * Any signs of diarrhea or constipation? Do you have any concerns about your puppy’s weight or growth? * Is your puppy currently on any flea or tick prevention? * If yes, which product and when was the last treatment? Is your puppy on heartworm prevention? * If yes, which product and when was the last treatment? What are your expectations for this visit? Thank you!
