C09987484 / invoice 10000

Reason: VaccinationAppointment Notes: Special payment terms exist, Overdue remindersHistory:Had a small seizure just before and after christmas, and had a few more little ones in the last 2 months. O wondering if need to make any adjustment to the phenobarb dose.Current medication regime:1. Fluoxetine: 20mg BID 2. Gabapentin: 1200mg BID 3. Clonidine: 500mcg BID 4. No longer on Trazodone  5. Phenobarb: 100mg BID 6. Galliprant: 60mg tablet SID7. Paracetamol:  500mg PRNPresented for annual vax. EDUF as per usual, no recent unusual V+ or D+. Any/No other concerns. Examine: Behaviour: BAR  Lovely boisterous/ Nervous/Worried  dogBody condition score:  /9Eyes/ears: nadTeeth/mouth: G  /4, minimal/mild/moderate/severe  tartar build upChest: No audible murmur, Panting/ Reg RR and  Reg/increased  resp effortAbdomen: nad/tense on palpationUrogenital: nadLymph nodes: Submandibular LNs nadSkin: nad Locomotion: Walking normally, full MSK exam not performedNervous System: nadAssessment:Suitable for vax- Nobivac DHP B:2523707 E:04-2027 and Nobivac Bb/Pi injectable B: 2523707 E:04-2027 + proheart inj  ml given SCSite of vaccination: dorsal neckPlan: Annual vax in 12monthsRecommend to maintain at current  weight.Vaccinations: DHPPi, Kennel Cough Vaccination    Vital Signs    Weight: 27.5;