Your puppy will need to finish its puppy vaccinations as your vet recommends. When you go to the vet, take your puppy's shot record with you. Your puppy will need to see the vet about once a year after its puppy vaccinations are completed. When you are at the vet you will need to discuss flea treatment. Nextguard is a good product for fleas. It is a pill you give your puppy once a month.