First Puppy Visit                                                                                                                                                                                                                                                                 When you get a puppy from a breeder or a rescue organization, he may have already had some vaccinations and may be spayed or neutered. However, you still want to take your new puppy to your veterinarian for the first time within a few days. This gives the vet the opportunity to examine him, determine a schedule for upcoming vaccinations and begin a record of his care. They may also take blood tests and complete a fecal exam.                                                                                                                                                                                                                                                                                                           Other Puppy Vet Visits                                                                                                                                                                                                                                                        After the first vet visit, your vet will recommend a schedule of vaccinations for your puppy. You will need to bring your puppy to the vet’s office for each booster vaccination. Also, once your puppy reaches 6 months of age, you will likely want to have him neutered or her spayed. This involves surgery and often an overnight stay at the vet’s office, and possibly a followup visit.                                                                                                                                                                                                                                                                                                                               Annual Exams                                                                                                                                                                                                                                                                     All healthy dogs should visit the vet at least once a year. Older dogs may need to see a vet every six months or more frequently. This gives the vet the opportunity to examine your dog and ensure that the dog is healthy. The vet will complete a physical examination, take your dog’s temperature, listen to his heart and look at his teeth, among other things. Your vet may also take tests such as heartworm tests before prescribing preventive medicines. If you dog needs any booster vaccinations, such as rabies or distemper, your vet will give them during the annual visit.