Every puppy leaves with a full written health guarantee. We encourage when a pup first leaves, for the new family to have the pup evaluated by someone they trust, usually their veterinarian. We guarantee for all of the known hereditary defects, such as hips, eyes, and elbows. The newest preventive measure is to screen for congenital heart problems. A certification is now available. All puppy packs will contain copies of applicable certifications. A full health summary is included for your veterinarian's review.