HEALTH CERTIFICATE To be completed by Veterinarian Only 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the dog's name and date of birth in the designated fields. Ensure accuracy as this information is crucial for identification.
3. Indicate the dog's sex and whether it has been altered by selecting 'Male' or 'Female' and checking 'Yes' or 'No' accordingly.
4. Fill in the breed and color of the dog, providing clear details to avoid any confusion.
5. Complete the owner's name section to establish ownership, which is important for record-keeping.
6. Document recent vaccine history, including dates for vaccinations like Bordatella, ensuring all entries are up-to-date.
7. For dogs over 5 months, record rabies vaccination details along with the tag ID number if applicable.
8. Input recent stool sample results and any necessary explanations regarding treatment if results are positive.
9. Detail heartworm and flea/tick prevention measures taken for the dog, as these are vital for its health.
10. If applicable, note any medications that may alter behavior and provide explanations where necessary.
11. Finally, ensure that you sign the certificate as the attending veterinarian, including your address, date, and office phone number to validate the document.

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