First Last Email *
Phone * Date of Appointment
Date Format: MM slash DD slash YYYY Pet's Name * A thorough physical exam is the obvious point of your pet’s wellness. Is your pet having any specific issues?
Eyes, Ears, Mouth/Teeth, Coughing/Breathing Issues, Digestive Issues, Skin Issues, Lumps, Bumps, Arthritis?
Your reminder will state what your dog is due for. However, we base vaccinations on your pet’s lifestyle, and many pets don’t always need all the vaccines available.
Does your dog attend any of the following? Please mark all that apply If you selected any boxes, do you know what vaccines these facilities require? If so, please list them here: Core Vaccines
Please read about the vaccine options in each section and mark the one you would prefer your pet to have.
We recommend, when possible, 3-year vaccines to decrease the frequency your pet needs vaccines. We also prefer to have their 3-year vaccines on alternate years with the other 3-year vaccines to spread them out.
This vaccine protects against distemper, adenovirus, parainfluenza and parvovirus. After 1 year of age, we recommend this vaccine every 3 years. Once your dog becomes elderly, we would likely discontinue this vaccine.
Vaccine titers are an optional blood test that can be useful for determining the need for distemper boosters, which are core vaccines. After a dog has completed their initial series with a booster the following year, annual titers can be performed to assess the need for continued boosters and their frequency.
Please read about the vaccine options in each section and mark the one you would prefer your pet have, if any.
This vaccine is recommended yearly, especially for dogs who board, groom or go to training
There are two flu vaccines available to help prevent these respiratory pathogens. H3N2 is the one that has caused outbreaks in local shelters and kennels in years past. It has not been diagnosed with much frequency lately, but a flareup is possible. H3N8 has not been diagnosed locally but some area boarding kennels still require it. If you board your dog, contact their facility for their requirements. The flu vaccine has been shown to not prevent the flu but diminish the severity of the disease.
This is a bacterial disease spread outdoors from the urine of wildlife and in any areas of moisture where this organism can live. Leptospirosis can cause potentially fatal kidney and liver failure.
This disease is spread by the small deer tick. Tick prevention is key for this and several other tick-borne diseases.
If your pet is due for too many vaccinations in the same year, we will likely recommend splitting them up into different visits. The more vaccines given at one time, the more of a chance of a vaccine reaction. You can return in several weeks with the technician if we recommend your pet’s vaccines be separated out. Signs of a vaccine reaction, although uncommon, usually occur within an hour or two of the vaccine administration and include vomiting, facial swelling, hives, and in severe cases, shock and collapse. Call us immediately and seek emergency care if you see these signs.
Parasite Prevention Stool Sample
We recommend you bring a stool sample every year to check for intestinal parasites
Heartworm testing is a blood test which will test your dog’s exposure to heartworms, transmitted from mosquitoes, from the previous year. Your dog needs a heartworm test yearly and should be on prevention year-round his/her entire life.
Your pet should be on prevention year-round his/her entire life. We have oral and topical prevention that is given once monthly. For those owners who prefer not to give a monthly preventative, we have ProHeart injectable which can last 6 or 12 months.
Please let us know if you would like a 12-month supply of heart worm prevention, or note the quantity you would like dispensed for your dog. If you have questions, please let us know.
*If you elect Proheart, we may recommend giving it separately from other vaccines for the same reaction reasons as above. **If the 6-month dose is chosen, your dog must return in 6-months for the next dose.
Flea and Tick Prevention
We recommend flea & tick prevention and have several products for your dog.
Please note the quantity of flea and tick prevention you would like dispensed for your dog. Wellness Bloodwork
In addition to yearly heartworm testing, we also recommend having yearly bloodwork done on your pet to look for underlying disease such as liver, kidney, thyroid, and tick-borne disease screening and a complete blood count. Since we are already drawing blood for your pet’s heartworm test, our lab offers a cost-savings profile which will screen your pet for all of these (including the heartworm test).
Fear Free Medicine We practice Fear Free Medicine and like your pet to not be anxious as much as possible. Can your pet have treats? A nail trim is included with the yearly wellness exam, if requested and it does not upset your pet too much. If you have any questions, please feel free to contact us and we will gladly help you!