C09998685 / invoice 10000

Appointment Reason: Check Skin, Appointment Notes: Basil (Dog) - Check Up [Veterinarian : Dr. Grace Hutchison (Preferred Clinician)] - Frequent biting of skin near tail/ back legs. Check up and recommendation of next steps - Web BookingClient name: Dominique HowieContact number: 61415354570Email address: dominiquerobertson01@gmail.comPatient name: Basil Original Appointment Type: Check Upin with StuartHistory:Has had the cone and off since the last visit Find that he gets very itchy and will lick himself excessively Think he could be allergic to grass - just had dirt in the garden for the past 2 years, then last year redid the lawn and scratching has started since then and been an issue over summer Diet - zeewee peak and dental chews - no change for years UTD with Bravecto Objective:BAR Scab lesions around tail base and L lateral thigh Owners have clipped hair shorter Diff quick tape prep - negative No sign of ectoparasites Assessment:Pruritis dxx environmental allergens, FAD, atopy, other Plan:Went through options for managing pruritis (pred, cytopoint, apoquel, barazone)Opted for pred initially due to cost Taper to lowest effective dose RV if not resolving 06/03/2026 10:31:34 AM JHE:Requested GH process pet insurance claim    Vital Signs    Weight: 28.75;