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This includes the spay/neuter/ three sets of shots 4 worming, microchip is prepaid so you never have to do anything. All adults and pups are genetic tested threw Embark .they also will get Revolution which includes heart-worm medication flea tick ear Mite mange Mite other parasites they go home about 10 weeks or until the vet clears them.... at 10 - 15 weeks old the plan is have them spayed and neutered the vet will do any hernias any dew claws give them a worming shot check their poop for coccidia Giardia parasites check their ears for yeast and mites any medicines to go home is included for more info email and nanukeshihtzu@aol.com, my cell is 508-265-9155 im also on facebook https://www.facebook.com/groups/nanukeshihtzuownersclub