Small Animal Reproduction Appointment Request- SPH as My Primary Reproductive Veterinarian for Breeding Management
Owner Information
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Bitch Information
Bitch Name/Call Name
*
Registered Name
Registration Number
Breed
*
Color
*
Date of Birth
*
-
Month
-
Day
Year
Estimate if needed.
Bitch Health History
Is your bitch on medication?
*
Yes
No
If so what medication?
Has your bitch been bred previously?
*
Yes
No
What is your plan for this breeding?
*
Fresh Semen
Chilled Semen
Frozen Semen
Stud Information
Stud Name/Call Name
*
Registered Name
Registration Number
Breed
*
Color
*
Date of Birth
*
-
Month
-
Day
Year
Estimate if needed.
Has he sired puppies recently?
*
Yes
No
Appointment Date, Medical Records and Health Testing
Medical Records and Health Testing
*
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We require all breed specific health testing in accordance with the OFA guidelines. Please submit all health testing and vaccine records. Distemper, parvovirus, and rabies must be up to date prior to breeding.
Cancel
of
Appointment Date Preference
*
-
Month
-
Day
Year
We do not guarantee appointment availability.
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