Client InformationFirst and Last Name(Required) First Last Phone Number(Required)Email Address(Required) Pet Name(Required)Pet Date of Birth(Required) MM slash DD slash YYYY BackgroundWhen did you bring your puppy home? MM slash DD slash YYYY Where did you get your puppy? Adoption Breeder OtherPlease SpecifyAre you aware of any previous medical conditions and/or diagnosis note from the breeder or prior owner? Yes NoPlease SpecifyHave you owned dogs before? Yes NoHave you owned a puppy before? Yes NoHome Environment/RoutinePlease list the people (including you) living in the house and ages of the children:Please list all animals in the household:Does your puppy have free access to the house? Yes NoDoes your puppy spend any time alone? Yes NoHours/DayWhere does your puppy go when you leave the house?Where does your puppy sleep at night?What does your pup do for exercise, and how often and for how long?Diet and FeedingWhat do you feed your puppy?How much?And how often?What treats are offered to your puppy?Your puppy’s first visit with SVH(Required)So we may better tailor your puppy’s first visit with us, please check off below what areas you’d like to discuss: Vaccinations Flea, tick, intestinal parasite and heartworm prevention Spaying/neutering Socialization, puppy classes, training, or doggy daycare Nutrition OtherPlease Specify(Required)Do you have pet insurance? Yes No Would like more information