New Puppy Form

Name: Veterinarian
Brand: Valley West Veterinary Hospital

Welcome to Valley West Veterinary Hospital. We are excited to help you start this journey with your new puppy. To best serve you and care for them, please fill out this quick questionnaire.

Select Location

Client Name

E-mail Address

Pet Name

Where did you get your new puppy?

How long have you had your new puppy?

Has your pet received any medical treatments (vaccines, deworming, etc.)?

If your puppy has received previous care, by whom and when?

Have you noticed any issues/problems with your new puppy?

What type of food are you feeding your new pet?

How much do you feed?

What type of training are you doing for your puppy?

What percentage of time will your puppy spend outside?

Have you seen any fleas or ticks on your puppy?

Do you have any other pets, and are they up to date on vaccines and preventatives?

Will your puppy go to the following

Boarding

Grooming

Dog Parks

Other areas where they may encounter unknown dogs or animals?

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New Puppy Form

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