VETERINARY EXAMINATION REPORT
I have
examined the following puppy and have found it to be in the condition indicated
below.
Owner’s Name ________________ Pet Name ___________________
Breed ______________________ Weight _________ Temperature _____________
Please choose only one of the following:
_____ The pet examined is in good health:
I do not find
any problems of significance.
Comments:
______________________________________________________________________________
_______________________________________________________________________________
_____ The pet examined has the following minor health problem(s).
These do not
constitute a health risk and can be easily and inexpensively resolved.
I do not recommend
that the pet be returned to seller.
Comments:
________________________________________________________________________________
_________________________________________________________________________________
_____ The pet examined has the following major health or genetic problems.
I recommend that it
be returned to the seller immediately.
Comments:
_______________________________________________________________________________
________________________________________________________________________________
Signed ________________________________________ DVM
Date_________________20___ Time ________________AM/PM