Fox Valley Therapy Dog Club Annual Health Record 2026

1. Click ‘Get Form’ to open the Fox Valley Therapy Dog Club Annual Health Record in our editor.
2. Begin by filling out the Owner section. Enter your name, address, and phone number in the designated fields.
3. Next, provide your Veterinarian's information. Include their business name, address, and phone number. Ensure to leave space for their stamp.
4. In the Dog Information section, input your dog's name, breed, gender, and birth date. Indicate if your dog is neutered by selecting 'Y' for yes or 'N' for no.
5. For the Rabies Vaccination section, enter the date administered, county, and tag number as applicable.
6. Complete the Fecal Examination details by marking whether it was performed and indicating if results were negative or positive.
7. In the Physical Examination section, record the date of examination and confirm if results were normal. If not, list any health issues that may affect therapy work.
8. Finally, have your veterinarian sign and print their name in the designated area before mailing or emailing the completed form as instructed.

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