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Puppy Vaccination & Microchip Record Form

A puppy health-record template — vaccinations, worming and microchip logged per pup, so a breeder hands over a clear, complete record.

Description

Every puppy should leave with a clear record of what’s been done — and this form is how a breeder keeps and hands over one. It logs each pup’s microchip, vaccinations, worming and flea treatment with dates, so the new owner and their vet have an accurate starting point. It records the essentials for each puppy: the microchip number, the vaccinations given and when, the worming and flea treatments with dates and products, and the vet health check. A tidy record that shows a conscientious breeder and sets the pup’s new vet up properly from day one. Keep one per puppy in the litter. Free, brandable, and it replaces scraps of paper with a proper health record you can hand over with pride.

Form fields

Everything the Puppy Vaccination & Microchip Record Form above collects — 10 fields, so you can see exactly what it captures before you make it your own.

Puppy Vaccination & Microchip Record

  • Puppy's name / reference

    Short Answer Icon
    Short Answer
  • Date of birth

    Date Icon
    Date
  • Microchip number

    Short Answer Icon
    Short Answer
  • First vaccination given

    Date Icon
    Date
  • Vaccine & vet / practice

    Short Answer Icon
    Short Answer
  • Worming treatments — dates & product

    Long Answer Icon
    Long Answer
  • Flea treatments — dates & product

    Long Answer Icon
    Long Answer
  • Vet health check done?

    Yes/No Icon
    Yes/No
  • Breeder name

    Name Icon
    Name
  • Email address

    Email Icon
    Email
Use Template Arrow Right Icon

Template FAQs

Common questions about the Puppy Vaccination & Microchip Record Form — what it captures, when to use it, and how to make it your own.

What should a puppy's health record include?

The microchip number, vaccinations given with dates, worming and flea treatments with dates and products, and the vet health check — everything the new owner and their vet need as a starting point.

When are puppies microchipped and vaccinated?

Microchipping must be done by eight weeks (before the pup goes home), and the first vaccination is usually given around then too. The record logs exactly what’s been done and when.

Why does the new owner need this record?

So their vet knows precisely what’s been given and what’s due next — the second vaccination, the next worming. An accurate record means no doses missed or doubled.

How often should puppies be wormed?

Young puppies are wormed frequently — commonly every two weeks until twelve weeks, then monthly for a while. The record logs the dates and products so the new owner can continue the schedule.

Should there be one record per puppy?

Yes — each pup has its own microchip and may differ slightly in treatment dates, so a record per puppy keeps everything accurate and clear for each new home.

Is the record form free?

Yes — free with a Fun Forms account, fully customisable, and ready to use on any device.