Your Puppy's Health
Puppy Health
This is the health program that we recommend:

First Visit-- done at approximately 6-8 weeks old:

  • Exam
  • Go through the puppy kit and discuss any questions or concerns
  • Check a fecal (poop) sample for intestinal parasites
  • First distemper vaccine (DAPP)
  • First bordetella vaccine (either injectable or intranasal)
  • Discuss and start heartworm, flea and tick prevention
  • Discuss spaying or neutering

Second Visit-- done at approximately 9-12 weeks old:

  • Exam and go over any new questions
  • Second distemper vaccine (with first lepto if 12 weeks old)
  • Recheck a stool sample for parasites
  • Reiterate heartworm, flea and tick prevention
  • First Lyme vaccine (if 12 weeks old)
  • Second bordetella vaccine (if injectable vaccine used)

Third Visit-- done at approximately 14-16 weeks old:

  • Exam
  • Third distemper vaccine with lepto (1st or 2nd, depending on age)
  • Recheck another fecal sample, unless first 2 were negatives and no problems with soft stools
  • Lyme vaccine (1st or 2nd, depending on age)
  • Reiterate spaying or neutering
  • Make sure your puppy is on the correct dose of heartworm, flea and tick prevention

Fourth Visit-- done at approximately 16-18 weeks old:

  • Exam
  • Rabies vaccine
  • Lepto (2nd, if still needed)
  • Lyme vaccine (2nd, if still needed)

*Spaying or *Neutering can be done at 4-6 months of age, after vaccinations are complete.


  • Exam
  • HELA (Heartworm, Ehrlichia, Lyme, Anaplasma blood test), starting at 6 months of age or prior to first season of heatworm preventative if not on heartworm preventative year round.

For more information: American Kennel Club