Please Note: We will be closing early at 4 PM on Wednesday, November 27th and will be closed on Thursday, November 28th for Thanksgiving!

Planned Breeding Form

Save time during your next appointment! Complete your required planned breeding form online before your visit.

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Planned Breeding Form

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

Downloadable Form

Bitch Owner Information

Owner’s Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Telephone *

Email *

For bitches with multiple owners, please list the primary contact person authorized to make all breeding- related decisions, understanding that this is the ONLY person who will be contacted by our staff in an effort to streamline all decisions and avoid any miscommunications.

Bitch Information

Bitch Call Name

Registration Number

Brucellosis Test Date (if available)

Current Diet

List any medications or supplements, including preventatives

Any general medical concerns?

Please email a copy of current rabies vaccination, pertinent labwork, and any registration paperwork to reception@sladevet.com. Please note that a baseline CBC and Chemistry are required for any procedure(s) involving sedation/anesthesia for the safety of your bitch.

Reproductive History And Plan

Previously bred? *

Any reproductive medical concerns?

First Date in Season

Number of Breedings Planned

Type of Breeding Planned

Type of Semen being Used

Please select a second or backup method, if desired - Type of breeding planned

Type of Semen being Used

Will you be performing part of the ovulation timing elsewhere?

Stud Dog Information

Owner’s Name *

First

Last

Telephone *

Email *

Stud Call Name

Registration Number

Brucellosis Test Date (if available)

Dual sire breeding?

Please note that Slade Veterinary Hospital requires all studs and bitches to have a negative brucellosis test (Brucella canis)/certificate valid within 6 months prior to breeding. If this has not been performed by your primary veterinarian, this will be done at our hospital.

Additional information:

I authorize Slade Veterinary Hospital to release reproductive information of the above described bitch, including breeding and ovulation timing results, to the stud dog owner and the veterinarian(s) as listed above. *

Date *

Comment

Email

Planned Breeding Form

Planned Breeding Form

Bitch Owner Information

Bitch Information

Reproductive History And Plan

Stud Dog Information

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