C09998175 / invoice 10000

06/03/2026 Record complete Y/N

Reason: Vaccination and Annual Health Check
History: 
 - EDUF: 
 - V#/ D#/ Coughing: 

Current medications: No medications currently being provided at time of examination, with the exception of those recorded on patient file.

What Preventative health cover is being used and do you need to purchase any today? 
Worming: 
Flea control:
Heartworm control:
TWP discussed: Y/N

Examine: 
Mentation: BAR
BCS:                           /5   
MM: Pink          
CRT: 1-2 seconds
HR:                             beats/min
RR:                             breaths/min
Dental Stage: Evidence of gingivitis and calculus
Temperature:              degrees Celsius
Gastrointestinal: No masses or abnormalities noted on palpation
Integumentary: No significant abnormalities noted during routine physical examination
Musculoskeletal: No evidence of lameness
Additional findings: 

Assessment: The complete wellness of the patient has been discussed today. 

Any additional items (assessments recorded here are relevant for this patient)
1. Weight has been discussed
2.Patient has dental disease and further assessment and treatment under GA recommended
3. Lump present requires further investigation as discussed with owner (FNA/biopsy)
4. Patient is not UTD with parasite prevention, receptionist advised
5. Life stage diagnostic testing (Biochem 11, CBC, BP, faecal antigen, urinalysis) has not been completed in past 12 months, recommended
6. Signs and history of lameness require xray screening under chemical restraint

Laboratory: Nil

Treatment:
Vaccination given: 
Batch number:

On-going medications required: Y/N (use prescription tab for further supply):

Follow-Up Client
Communication
1. Vetcheck sheets relevant
2. Estimates completed
3. Next date for check up confirmed