General

• Annual Exams (Unless 7+ years old; then 2 exams/year)
• Spay/Neuter (for non-breeding dogs)
• Breeding Counseling
• Behavior Review
• Nutritional Review (Optional Obesity Counseling)
• Microchipping
• Obedience Training

Vaccinations

We perform a combination of the following vaccines, based on exam assessments and AAHA Vaccine Guidelines:

• Rabies – Required by law, initial vaccine and then every three years
• DHPP (Distemper/Hepatitis/Parainfluenza/Parvovirus) – a full puppy series (every 3 weeks starting at 6 weeks of age until 16 weeks of age), then every 3 years after the first annual visit at about 18 months
• Bordetella – recommended for all dogs that have any exposure to other dogs [boarding, grooming, dog parks or neighborhood walks] (dogs boarding at RRAH require every 6 mo)
• Lyme – recommended for dogs with exposure risk to ticks. Although Lyme-carrying ticks are not endemic to NC at this time, these ticks have been moving southward from Lyme, CT, over the past decade and currently infect dogs routinely as far south as VA. Spread to NC is most likely inevitable, and likely we will be recommending routine vaccination for all patients with in a few years. Definitely recommended for dogs that travel north
• Lepto (Leptospirosis) – recommended for all dogs at this time due to a recent outbreak. The disease-causing bacteria is carried by all wild mammals (from mice to deer) and ends up in standing water which dogs may drink or step in
• Canine Influenza – Recommended for dogs who travel or who spend time with other dogs that travel through shows, trials, contests, etc. There have not been any outbreaks in this part of NC, but we continue to test dogs with upper respiratory signs.
• Obedience Training

Parasites

• Intestinal parasite screening
• Annual deworming
• Annual heartworm and tickborne disease check (HW/Lyme/Ehrlichia/Anaplasma)
• Year round heartworm prevention
• Year round flea & tick prevention

Bloodwork

• Annual blood work screening – basic for puppies and adults
• Semi annual senior panels for dogs over 7 years, giant breeds over 5 years, at-risk dogs
• Breed-specific genetic testing

Dental

• At-home dental care (brushing, rinses, Healthy Mouth)
• Dental health treats

From Huskies to Pitbulls and Pomerians to Mastiffs, for the family best friend that you’ve had for years, to the precious new family member that you just rescued, we love your pups!

Our staff emphasizes wholistic care for the dogs you entrust to us. What does wholistic care mean? It means that we consider every part of your pet to achieve and maintain optimum health: thorough preventative care and a nutrition review. We also consider ownership counseling and pet behavior as viable treatment discussions. We utilize both conventional and alternative approaches to medicine (such as supplements, laser, acupuncture, behavior modification, etc.) to create and ensure a well-rounded approach to pet care.

Our baseline care for your pups includes:

• Annual Exam, including nutrition and behavior reviews
• Spay/Neuter
• Appropriate vaccinations
• Heartworm prevention
• Flea/Tick prevention
• Annual lab work (including intestinal parasite screening, complete blood count, blood chemistry)
• Specific breed testing
• Senior Care (including increased exams schedule and extensive lab work for pups 7+ years)

You can certainly trust us with your pup’s care!