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Excelsior’s Havanese Puppies
VETERINARIAN EXAMINATION FORM
As a condition of sale and warranty coverage.
This Veterinarian Examination Form is to be filled out by your Vet and mailed or e-mailed back to Excelsior’s Havanese Puppies (pkwilsons@msn.com), along with a copy of the Bill, within 10 business days of the arrival of your puppy. Failure to comply with these conditions will Void the Entire Warranty - No Exceptions.
COAT AND SKIN
Bright/Shiny Good Condition__________Abnormalities Found________________________________________________________________.
PARASITES PRESENT (All puppies leave my home with no Fleas Ticks or Lice) if they are present provide Frontline or Advantage Plus at this visit and instruct client on care
Present at exam Fleas________Ticks_________Lice_______Other Lesions Noted________________________________________________________.
EYES Clear___________Odor Free_________Discharge________Red________Abnormalities Noted____________________________________.
EARS Clean____________Dirty_________Abnormalities Noted_______________________________________________________________________.
LUNGS Clear__________Coughing congested______________Abnormalities noted__________________________________________________.
HEART Normal Rhythm__________MurMur____________Grade____________
Is testing required_____________________________________.
UROGENITAL Normal Non Painful_________Testicles Present___________
If not check for scar to see if Neutered or noted on health certificate. Have Client call us to confirm. Notes_______________________________________________________________.
LEGS, JOINTS, PAWS Normal non Painful____________Limping_________If limping when was it reported to you?______________________________________.
Results of x-ray if required? ____________________________________________________________________________________________ ____________________________________________________________________________________________ _________________________________________________.
TEETH PLEASE NOTE THAT IT IS NORMAL FOR THE HAVANESE TO HAVE A LEVEL OR SCISSORS BITE.
HOWEVER OUR PUPPIES WITH INCORRECT BITES ARE SOLD TO YOUR CLIENT AS A PET.
NORMAL__________ABNORMAL___________ Please Explain if abnormal and not listed on vet health shipping certificate. ____________________________________________________________________________________________ _______________________________________________
NEUROLOGICAL BEHAVIOR Normal Puppy behavior__________Lethargic_______
Abnormalities Noted_________________________________________________________________________
____________________________________________________________________________________________ ___________________________________________________.
FECAL EXAMINATION Negative_________Positive___________For_________________________________
Treatment Provided__________________________________________________________________________
____________________________________________________________________________________________ _________________________
OVER ALL CONDITION EXCELLENT________GOOD_________FAIR________IF FAIR PLEASE EXPLAIN____________________________________________________________________________________
____________________________________________________________________________________________ ____________________________________________________.
DO YOU FIND THIS PUPPY FIT FOR PURCHASE? YES____________NO___________ If NO Please DO NOT TREAT. Have the client Contact us immediately to make arrangement to have the puppy returned for a refund. Please explain__________________________________________________________
____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________.
Please Note The Buyer has been provided a Health Record of all past vaccines and worming. The puppy will also have a Veterinarian Examination Health Certificate, if the puppy was shipped. Both documents should be provided to you or staff at this first visit.
All puppies are current on Vaccines. Please set a time after the first 14 days of arrival to revaccinate this puppy. It is one of the requirements that on this visit the client be educated on the care and treatment of heartworm and flea/tick control, SPAYING, NEUTERING. All puppies 12 weeks and older per our warranty agreement are to be started on heartworm control.
Medications for heart worm and parasite control: ______________________________________________________________________________
______________________________________________________________________________
CLIENTS NAME ______________________________________________________________________________
CITY___________________STATE___________
NAME OF DOG ___________________________BREED______________________DOB_____________SEX_________COLOR__ ___________________________
IMPORTANT NOTE TO VET: IF THIS PUPPY IS NOT ALREADY MICROCHIPPED, A MICROCHIP IS TO BE IMPLANTED AT THIS INITIAL VET VISIT TO COMPLY WITH THE WARRANTY-SALE TERMS. SHOULD THIS NOT BE DONE THE ENTIRE WARRANTY AND GUARANTEE, AS STATED IN THE CONTRACT, IS VOID - NO EXCEPTIONS.
MICROCHIP NUMBER_________________________.
VET SIGNATURE__________________________________________________________
LIC. #______________________
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