Health Certificate


This form must be completed by your veterinarian and returned to Tip Top Dog Training on or before your first scheduled class.

Class date and time:___________________________________________

Health Certificate
(to be completed by your veterinarian)


 

This is to confirm that_______________________, owned by _____________________________,

is up to date on inoculations, in good health and free of internal and external parasites.

The following tests have been given:

  • DHLPPC________________date
  • Rabies__________________ date
  • Fecal test________________ date
Other comments:_______________________________________________________________

 

Veterinarian______________________Signature______________________________________

Address_________________________Phone number__________________________________

City____________________________State_______Zip___________