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Puppies are given a thorough exam, checking eyes, ears, mouth and nose for any abnormalities. The skin is evaluated for different types of dermatitis and external parasites. Auscultation of the heart and lungs is performed to confirm they are normal. Puppies need a fecal flotation done to evaluate for internal parasites or dewormed to remove them. Monthly heartworm prevention administration is necessary to prevent heartworms and internal worms.
Puppy vaccinations are started at 6 weeks of age and boosters are given at 9, 12 and 16 weeks of age. Vaccines administered at 6 and 9 weeks are given subcutaneously and include Distemper, Hepatitis, Parvo and Corona (DHPC). Rabies immunization is given at 12 or 16 weeks of age. Lepto is added to the DHPC vaccination at 12 and 16 weeks of age. Other elective vaccines available are Bordetella, Lyme, Flu, and Rattlesnake. These require boosters also to create the initial immunity for a young puppy.