Age Date Weight
Immunization _______weeks ______________ ______________
Below are the most important diseases for which
vaccines are currently available: _______weeks ______________ ______________
Rabies, one of the world’s most publicized and _______weeks ______________ ______________
feared diseases, is always fatal. Rabies virus attacks the
nervous system, and is transmitted chiefly through the _______weeks ______________ ______________
bite of an infected animal.
1 year ______________ ______________
Distemper is among a very contagious and fatal
disease of the respiratory tract, gastrointestinal tract,
and nervous system. It is transmitted through contact
2 years ______________ ______________ Health Record
with bodily and airborne secretions.
Canine adenovirus, type 2 is associated with
3 years ______________ ______________
4 years ______________ ______________
Of
infectious hepatitis and infectious tracheobronchitis. It
is spread through bodily and airborne secretions. 5 years ______________ ______________
Parainfluenza is a common and highly contagious
6 years ______________ ______________ Name:
cause of infectious tracheobronchitis. It is an airborne
disease. 7 years ______________ ______________ ___________________________
Parvovirus is a highly contagious, aggressive, and
8 years ______________ ______________ Date of Birth:
often fatal gastrointestinal virus. It is transmitted
through direct contact with infected animals, feces, 9 years ______________ ______________
and other objects that have traces of the virus. ___________________________
10 years ______________ ______________
Lyme disease is transmitted through tick bites. It is
difficult to diagnose in dogs because they do not show Breed:
12 years ______________ ______________
the same symptoms as humans. The most common
sign described is that the dog is “walking on 13 years ______________ ______________
___________________________
eggshells.”
14 years ______________ ______________ Sex:
Leptospirosis is an infection that is contracted
through skin contact with infected water, soil, mud, or
the urine of an infected animal. It can be transmitted
15 years ______________ ______________ ___________________________
to humans. 16 years ______________ ______________
Markings:
Bordatella is associated with respiratory disease 17 years ______________ ______________
(kennel cough). It can be transmitted to cats, rabbits, ___________________________
and humans. It is highly contagious and transmitted 18 years ______________ ______________
through the air and direct contact.
19 years ______________ ______________
Microchip ID Number:
Influenza is one of the viral causes of kennel cough.
It is highly contagious through contact with other 20 years ______________ ______________ ___________________________
infected dogs. The fatality rate is low, but most dogs
have not been exposed or vaccinated for it.
Fecal/Deworming Medical Record
Vaccination Record
Date Notes Date Notes
________
________
________
Bordatella
Influenza
DHPP __________ __________________________ __________ __________________________
Rabies
Lepto
Date Lyme __________ __________________________ __________ __________________________
__________ __________________________ __________ __________________________
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__________ __________________________ __________ __________________________
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__________ __________________________ __________ __________________________
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__________ __________________________ __________ _________________________
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__________ __________________________ __________ __________________________
______ □ □ □ □ □ □ □ □ □ __________ __________________________ __________ __________________________
______ □ □ □ □ □ □ □ □ □
Heartworm Preventative Flea & Tick Treatment
______ □ □ □ □ □ □ □ □ □
Date Notes Date Notes
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__________ __________________________ __________ __________________________
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__________ __________________________ __________ __________________________
Notes: ____________________________________
__________ __________________________ __________ __________________________
__________________________________________
__________ __________________________ __________ __________________________
