All of our adult dogs are spayed/neutered (age appropriate), and vaccinated (age appropriate) with rabies, DHPP and bordetella. We keep the dogs up-to-date on flea and heartworm preventative and do a heartworm test. If we know about an illness or injury when we rescue the dog, we do our best to take care of those vet costs before adoption. For puppies too young to have received all their shots and spay/neuter, we give at least one round of DHPP. The adopter is responsible for covering the cost of all booster shots and spay/neuter after adoption. We can recommend low cost spay/neuter programs and vets who accept certificates.