Name: New Ulm Regional Veterinary Center
Address: 401 20th S St, New Ulm, MN, 56073, US
Telephone: (507) 233-2500

Please fill out the first puppy visit form before your scheduled appointment.

Book Online (507) 233-2500

First Puppy Visit

Complete and submit the online form.

Owner(s) First Name *

Owner(s) Last Name *

Primary Phone Number *

Primary Email *

Do you have an appointment? *

Yes

Date of first puppy exam appointment? *

Pet's Name *

Breed, Color, Estimated weight *

What is your puppy's date of birth

1. Where did you obtain this puppy? *

Breeder

Shelter/Rescue

Pet Shop

Facebook Marketplace/Craigslistt

Family/Friend

Farm

2. When did you get him/her? *

3. Previous Vaccinations *

Yes

Upload picture(s) of vaccination information and/or previous medical history

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4. Has your puppy received any of the following?

Dewormer (If so when?) *

Heartworm Prevention (If so when?) *

Flea/Tick Prevention (If so when?) *

Microchip (If so, ID number) *

5. What is your puppy’s current diet? What brand & formula? Amount fed? * (ie 1 cup three times a day) *

6. Do you give any medications or supplements, if so what? *

7. Have you had a puppy before? *

Yes

It’s been awhile

8. Do you have previous experience with this breed of dog? *

Yes

9. Do you plan on doing any of the following with this puppy? * *

Hunting

Breeding

Farm Dog

Show Dog

Other

None

10. Do you plan on spaying (female) or neutering (male)? *

Yes

Undecided

11. Risk Factors: These help us evaluate your dog’s potential risk for Bordetella, Leptospirosis,
Canine Influenza, Lyme & Other tick-borne diseases

Does your puppy go to daycare, boarding, dog parks, grooming? *

Yes

Does your puppy go hunting, camping, live on a farm, around tall grasses, hiking in woods or state parks, cabin/lake? *

Yes

Does your puppy have the opportunity to drink from puddles, ponds or still water? *

Yes

Does your puppy travel outside of the city? *

Yes

If yes, where? *

12. Do you have any concerns with puppy training that you would like us to discuss? If yes, list concerns briefly *

13. Is your puppy currently enrolled or going to be enrolled in puppy class or professional training? *

Yes

If yes, where?

14. Is your pet crate trained or currently being trained? *

Yes

15. Is your pet potty-trained or currently being trained? *

Yes

16. Does your pet have tendency to chew on or eat any non-food items? *

Yes

17. Does your pet have any fears? *

Yes

If yes, what kind?

18. Do you have any children in the home? *

Yes

19. Do you have any other animals in the home? *

Yes

20. How many hours per day will this pet be alone on average? *

0-5

5-10

10+

21. What percentage of time will this pet spend indoors and/or outdoors?

Indoors *

Outdoors *

22. Do you have insurance for your pet? *

Yes

Undecided

23. What topics are you most interested in learning about during your first puppy visit? *

House training

Biting/chewing

Obedience/training

Puppies and Kids

Nutrition/Feeding

Preventative care

Spay/neuter

Dental Care

Pet insurance

Grooming (including brushing, ear cleaning, nail trimming & /or teeth brushing)

Other

None

Do you have any concerns?

**Please remember to bring a fresh stool sample to your first appointment!

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AAHA Accredited Large Animal Bookings Refill Prescription Emergencies Patient Account Login Log in to your pet's patient account to book an appointment, refill a prescription, or access your pet's medical records.

Happy Tails from Clients

Not from New Ulm but will drive to this clinic because the staff is outstanding. I have 3 vet clinics all 5mins from my house but will drive an hour to this clinic! Most friendly front desk and best customer service!
Michelle B.

First Puppy Visit

First Puppy Visit

Welcoming New Ulm Animals to our Animal Hospital