We recommend annual examinations for all adult dogs. Puppies should be seen every 3-4 weeks until they are at least 4 months of age. Geriatric dogs (over the age of 7) should be examined twice yearly to detect changes that sometimes happen more suddenly. In addition to a vaccination protocol individualized to meet the needs of your dog we will counsel you on nutrition, behavior, training, dental care and more. Blood testing to detect medical conditions and intestinal parasite screenings are typically recommended annually but depend on the needs of each patient.