Consult Breeding Form

Save time during your next consult breeding appointment. Complete your required consult breeding form online from any device before your visit.

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Consult Breeding Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pet before your visit.

Name *

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

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Please list your kennel name if applicable

What breed or breeds of dogs do you have?

How long have you been involved with breeding dogs?

What is the primary goal of your breeding program?

Does your breed or breeding lines have any specific health issues of concern?

Do you perform health testing as recommended of your breed/breeds?

If you do perform health testing, what health tests do you currently have performed?

Approximately how many intact/breeding dogs are associated with your breeding program?

What services do you intend to use at Heritage Animal Hospital?

Please upload a copy of your puppy contract if available

Click or drag a file to this area to upload.

If you do not have a puppy contract, do you provide any health guarantees for the puppies that you produce?

What are your expectations of our veterinary healthcare team?

Please inform us of any specific requests or information we should know about your dogs or your breeding program. This may include diet, vaccinations, issues or concerns.

Please provide contract information for your current veterinarian (if using breeder services only) or contact information of the veterinary clinic you last used to serve as reference.

Thank you for completing our breeder application form. Your form will be reviewed and we will contact you by email regarding the status of your application within 7-14 business days. Please be aware that in addition to accepting applications based on review process, Heritage is also limited to the number of breeders that can be supported by our reproductive veterinarians at one time.

Consult Breeding Form

Consult Breeding Form

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