Puppy/Dog Medical Update Form

Medical History Update Questionnaire

Please fill out for the previous year. Your information will help us improve our breeding program.
For the Past Year of:*
Last Year example: 2022
Your Name*
First last and add spouse/partner, if applicable
Your Dog's Name*
Call Name
Update Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Update Email*
example@example.com
Update Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
*Our dog passed away
Date of Death / Cause of Death
Has your dog had any minor or serious medical issues? If yes, please explain. This information may be pertinent to our breeding program. We are interested in any kinds of food allergies or sensitivities, especially after 2023 litters where we used a feeding protocol to reduce food allergies.*
Have you spayed or neutered your dog? Note that you are not under any obligation to do so. If done, it is best to do so after the dog is sexually mature, usually after two years old. There are no breeding exceptions for those dogs with Limited Registration. * Refer to your contractual requirements for release to breed.

NoYesNo, plan to breed*
Dog was spayed or neutered on: (please attach record)

MonthDayYear
Date
Attach Spay/Neuter Record

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As ethical breeders, one of our goals is to not contribute to the health issues of Golden Retriever breed by being punitive where our non-breeding policies are violated. We expect all our pup parents to be responsible and adhere to your contract to not breed non-health-tested dogs. Breeding is a responsibility to bettering the breed, and following the Golden Retriever Club of America's guidelines by fully testing your dogs for all known or common Golden Retriever diseases and to do breed specific DNA testing. Even when health testing is fully vetted, some diseases do sneak in like hip dysplasia and cancer where it is unknown the genetics that cause these illnesses. Allowing your non-health tested dog to procreate violates your contract and deems the remaining contract void. In addition, we will impose the fine in your contract and possibly take your dog back for breach of contract and abuse.
If preparing for breeding release, please select screenings that are complete. As these are completed, they are submitted to OFA at https://online.ofa.org/ and become a part of the dog's permanent public record. When these are done, Sundancin' Golden releases all partial ownership.

OFA Eyes (Required to have eyes checked yearly)OFA Basic Cardiac (Can be done after 12 months)OFA Advanced Cardiac (Only if Basic does not pass)OFA Hips and Elbows (Do at 24 months)DNA (Embark, PawPrint Genetics, etc. - optional)
Please attach a current photo or video of your dog for our records. We may use this in promotional social media posts. Also please attach other copies of any medical records, DNA reports, OFA health screenings for our records.*

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Your overall experience in choosing your puppy:*

1

2

3

4

5

1 is Worst, 5 is Best
Comments (How can we do better?) Honestly, your input is helpful to us in improving our breeding program.*
Potential buyers of our puppies like referrals. Please compose a referral we can use in our marketing. If you don't mind leaving contact information, we'd love to be able to share that with a potential buyer, as well. Describe our process and involvement with you as a potential buyer, and how we pleased you. We would love for you to leave a referral on Facebook, as well. Thank you so much.
Should be Empty:

Medical History Update Questionnaire