All of our puppies come up to date on vaccinations and de-worming. They are also started on heartworm preventative prior to leaving. They are socialized and handled daily. They will be sent with a collar, leash, toys, food, treats, bones and much more. *If your puppy is being sent with a flight nanny, a lot of these items can not be sent due to the available space with the nanny.* Each puppy is examined by our vet prior to leaving and will come with a health certificate from our vet. They will also come with their health records from the vet and a two year health guarantee/contract.