Services Included Initial puppy physical examination and all vaccine related followup visits DA2PCPV/CV vaccination and all subsequent puppy boosters Bordetella vaccination and subsequent booster Leptospirosis vaccination (and subsequent booster), if needed Rabies vaccination; you pay only for the St. Louis County rabies license, if applicable One intestinal parasite test Three additional office visits (examinations) during the year; if your puppy is sick, the exam is free during regular office hours Ovariohysterectomy (spay) or neuter surgery fees are totally covered including the cost for anesthesia and hospitalization; you pay only for a blood profile and pain control medication, a requirement for all surgical procedures Additional fees for puppies with congenital problems will be determined on a case-by-case basis. Vet-A-Care Puppy Wellness Plan Annual Cost: $325 Return to the Wellness Plan main page