C09977219 / invoice 10000

Reason: Repeat Apoquel Tabs TNAppointment Notes: Overdue remindersMedications: APOQUEL 16MG TABLETS X 24: 3/4 TABLET SIDNw approved and nw dispensed    Vital Signs    

Reason: VaccineHistory: Due for  vaccination todayHistory ofHeartworm: ST Worming: ST	Flea Prev: Simparica trio UTD 	Current Diet: Saviour life care plus, ocean fish Microchip:	Current Meds: cytopoint overdue- really red belly yesterday- o doesn't feel cytopoint works well latelyBetter today, wants to discuss options for itchy skin. Did recover well after scope to remove sock. Has been fine sinceExamination: BAR, GPE NADOral: DG0.5 - [plaqueSkin: NADCardioresp:NADGI Tract:NAD- slight thickening cranial abdomen - see consults 1 month ago for poss pancreatitisUrinary: NADMusculoskeletal: NADNeuro: NADLNs: NADEyes/Ears: NADLaboratory: Assessment: Appears clinically healthy. Fit for vaccinationUTD with preventative health treatment.Treatment:     Vaccination C5 Vanguard C4 (batch 740400306 (exp 11.27)Vanguard Bordetella oral (batch 803220 exp 04.03.27)Apoquel 16mg x 18: give 3/4 tablet bid x 6 days then 3/4 tablet sidConsent has been given by the client to proceed with this treatment  -  Yes/No Plan: IF APOQUEL works well, can get more as needed 3/4 tablet sid--- 03/01/2026 09:09:45 AM SCH:Vaccinations - Resolved ---- 05/01/2026 11:17:48 AM NIT:Examinations - 03/01/2026 09:09:41 AM SCH Deferred: follow up apoquel trial chResolved - Follow up sms sent - awaiting response    Vital Signs    Weight: 20.7;       HeartRate: 120;       DentalGrade: 0.5;       RespirationRate: 24;       Temperature: 38.1;       CRT: 1;       MMColour: p;       BodyScore: 6;