Puppies have had their dewclaws removed by a licensed vet, have had all scheduled de-worming, have had their second set of shots, and each puppy has their puppy starter pack with health records, copies of their sire and dam's health certifications, an information booklet with various helpful topics, a coupon for a free office visit and consultation, food and treat samples, as well as the AKC puppy registration waiting to be completed by their new family.