Dog's Name*How old is your dog?*Veterinarians make vaccination recommendations based on many factors, including the age and the lifestyle of a dog. Below are common lifestyle risk factors that will help us determine which vaccines are appropriate for your dog. There are also questions to determine the best time for spay or neutering. Please check all that apply to your dog: Will have close contact with other dogs Enjoys meeting or playing with other dogs Will stay in a boarding kennel on occasion Spends time or will spend time in doggie daycare Attends or will attend or participate in dog shows Lives in or travels to an area where tick bites are common Live near open space/Briones/Mt. Wanda Groomed in a grooming facility Visits or will visit dog parks Will go hiking/camping/backpacking/hunting Spends time in a yard currently or previously used by livestock Spends time in an environment with a high population of vermin Swims or wades in fresh water rivers or lakes Drinks from fresh water rivers, lakes or puddles Walks or lays on soil where wildlife/livestock could have urinated Any wild animals (raccoons, skunks, opossums, coyotes, turkeys) have access to front/backyard Enjoys being a couch potato Is your dog a purebred?* Yes No Do you plan on breeding your dog?* Yes No Is your dog spayed or neutered?* Yes No Please list any special activities you will be doing with your dog Based upon the answers to the questions above, the doctor is recommending the following vaccines: RABIES DISTEMPER BORDETELLA LYMES LEPTOSPIROSIS INFLUENZA RATTLESNAKE
