It has been to see the Vet and vaccinations started & worm meds have been given.Registered/registerable, Current vaccinations, Veterinarian examination, Health certificate, Health guarantee This puppy has a health certificate from the Vet and a health guarantee. Map Quest or GPS Shirk Road, New Holland, PA 17557 for directions. For more picture and info kindly text us at (xxx)-xxx-xxxx anytime for more details and pictures thanks.