All of our puppies have their first shots and a health exam with a qualified veterinarian before going home with their forever families!  We also deworm and give them parasite prevention.  Our puppies go home with a vet record, collar and chew toy, and transition puppy food.  We have a one-year congenital (genetic) health guarantee, and also offer the option of 4 weeks free pet insurance with Trupanion!