Dog and Puppy Presale General Health Check Certificate
Examination Details
- Date of examination
- Time of examination
Animal's Details
- Name
- DOB (age)
- Microchip
- Weight (kg)
- Gender
- Desexed
- Species
- Dog
- Breed
- Colour
- Markings
Health Check Outcomes
- Outcomes of the general health check
Breeder / Seller Details
- Breeder / seller name
- Breeding business name
- Registration / member number
- Source number
Veterinary Declaration
I, the undersigned, in my professional opinion hereby declare that as a veterinary practitioner registered under the veterinary practice legislation applicable in my jurisdiction, with relevant experience in small animal health and management, I performed a general health check on the animal with the above details on the date signed. I have attached outcomes of this general health check to this declaration, or have provided details above.
- Veterinarian name
- Registration number
- Practice name and address
- Phone
- Date signed
Veterinarian signature
Clinic stamp
