C09989487 / invoice 10000

Appointment Reason: Repeat medication check, Appointment Notes: ap  ------- Sms reply: YOwner reports reactivity has become worse. Advised continue to take instruction from Dr Lucy for behaviour issues. Treat motivated and used throughtout curdory exam. Eyes, ears, nose- clean. no oral exam.Heart sounds are normal and femoral pulses are strong. Limited abdo palpation.Owner concerned about gut health althought eating well, stools consistently normal, drinking and urinating normally. O wants to use a probiotic for gut health. Recommend synbiotic DC.Not due for vaccines until 5 months (KC). Recheck as needed.     Vital Signs    Weight: 46.5;