The adoption fee of $200 covers all vetting including spay/neuter, all sets of shots, microchip, heartworm test, heartworm prevention, flea prevention, dental if needed, blood work if needed, heartworm treatment if needed, any surgeries if needed like hip or knee, etc.
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You'll receive a copy, too, at to help you keep track of which pets you've inquired about, and which shelters and rescues you've emailed.
NOTE: Some shelters have physical locations you can visit; some of these shelters may only have pets for a limited time, so please do not wait for a reply—just go visit the shelter! Other organizations are rescue groups run by busy volunteers who may take a while to reply. You can find information about the shelter or rescue group caring for this pet, and their adoption procedures, on the pet's details page on Adopt-a-Pet.com.