HEALTH SCREENING FORM - CANINE 2026

1. Click ‘Get Form’ to open the HEALTH SCREENING FORM - CANINE in the editor.
2. Begin by filling in the 'OWNER' section with your name and phone number. This information is crucial for contact purposes.
3. Next, complete the 'PET' section. Enter your pet's name, age (approximate if unknown), breed, date of birth, and sex/altered status by checking the appropriate boxes.
4. Provide details on how long you have known the handler and this dog, as well as whether you are the dog's personal veterinarian.
5. In the 'GENERAL HEALTH OF ANIMAL' section, assess your pet's health status by selecting from options ranging from 'Excellent' to 'Poor'.
6. Fill in vital signs such as temperature, pulse, weight, and respiration rate. Also, list any current medications prescribed.
7. Proceed to the 'PHYSICAL EXAMINATION' section where you will check off findings for various systems of your dog’s health.
8. Complete the 'PARASITE PROGRAM' and 'IMMUNIZATION' sections by listing preventative measures and immunization dates respectively.
9. Finally, ensure that a licensed veterinarian certifies the examination by signing at the bottom of the form.

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