Please print out below to bring to your veterinarian.
Babette Haggerty’s Dog Training, LLC
917-547-9147

Dear Doctor

_______________________________(OWNER) has enrolled ___________ (DOG’S NAME) in training with us. For the dog’s well being, we want to make sure that ________(DOG’S NAME) is healthy before beginning the program.

HEALTH AND VACCINATION RECORDS

We would like to verify that ___________________(DOG’S NAME) is in good health, is current on vaccines, and has no medical problems that could create or aggravate behavior problems, or be aggravated by training. We realize that your time is short, but if you could take a moment to record the following information we would greatly appreciate it.

Should you have any questions, please feel free to call 917-547-9147

Thank you.

Babette Haggerty’s School for Dogs
VACCINATIONS

DHLP_________________________ 
DATERABIES________________________ 
DATEPARVO________________________ 
DATEBORDATELLA___________________ 
DATECORONAVIRUS_________________ 
                      DATE
FECAL CHECK RESULTS______________ 
                                         +/-
_____________________ 
DATEHEARTWORM_________________ 
                  DATE_________________________________
VETERINARIAN'S SIGNATURE __________________________________
HOSPITAL STAMP/NAME 

PLEASE MAIL THIS FORM WHEN COMPLETED TO:

Babette Haggerty’s Dog Training, LLC
403 East 64th Street
New York, NY 10065