Discharge Note

Maddie

Tuesday, September 8, 2026 at 8:41 AM

Client Discharge Note

Thank you for bringing Maddie in today. It was a pleasure meeting her, and she is such an adorable and well-behaved puppy!

Summary

Maddie is doing well overall. She is active, eating, and playing well. Her house training is progressing nicely, and her health check was normal. She received her second distemper/parvo vaccine today, and we discussed her vaccination schedule, deworming, and other preventative care.

Key Topics We Discussed

• Vaccination Schedule:

  • Maddie received her 10-week distemper/parvo vaccine today.
  • Please return in 3 weeks (at 13 weeks) for her next vaccine, and again at 16 weeks for her final distemper/parvo vaccine and rabies vaccine.
  • Monitor Maddie for any vaccine reactions, such as lethargy, mild pain at the injection site, or swelling. Contact us immediately if you notice severe reactions like facial swelling, hives, vomiting, diarrhea, or difficulty breathing.

• Deworming:

  • Continue monthly deworming until Maddie is 6 months old.
  • Bring a stool sample during your next visit to check for parasites.

• Heartworm Prevention:

  • Maddie can start heartworm prevention next month. We will discuss this further during your next visit.

• Socialization and Exposure:

  • Continue limiting Maddie's exposure to other dogs and public areas until she is fully vaccinated, including her rabies vaccine.
  • Consider Bordetella (kennel cough) and leptospirosis vaccines if Maddie will be exposed to other dogs (e.g., dog parks, puppy classes) or wildlife.

• House Training and Feeding:

  • Your current house training routine is excellent. Keep up the good work!
  • Feeding smaller, more frequent meals (e.g., twice in the morning and twice in the afternoon) is a great approach to help regulate her digestion and bathroom schedule.

• Handling and Grooming:

  • Continue handling Maddie's paws, mouth, and tail to get her accustomed to being touched in these areas. This will help with grooming and in case of emergencies.
  • Trim her nails regularly, focusing on just the sharp tips to avoid discomfort. Monitor her dewclaws, as she seems to chew on them occasionally.

• Spaying:

  • Plan to have Maddie spayed at around 6 months of age. We can discuss this further during her next visits.

Thank you for entrusting us with Maddie's care! Please do not hesitate to contact us if you have any questions or concerns.

— Dr Jan Lhuthe