C09999343 / invoice 10000

Appointment Notes: Booked Online: 04/03/2026 16:52:16 PMBooking Type: VaccinationReason: Client Present:LibbyNurse:k.S Healthy Pets Wellness Testing: Done Yes / NoVaccination Type:dueIntestinal worming:st Heartworm Prevention:Flea Prevention:Tick control:Microchip:on fileInsurance and Healthy Pets Plus:Behaviour concerns:Current medications:occasional zertek - does chew n front paws. Current Diet:kibble vwggies sardines meat- probioticType of Shampoo/Frequency:Toileting:eddu normal __________________________________________________________________________History Presented for vaccination, also has been shaking head and itching belly, ox noticed chew feet at night when trying to sleep, worse when went to the dog park where there is long grass. ExamBoisterous, HR 100 RR pant T38 mmpink dental G0CVS NMAResp NADCryptorchid. Erythema on ventrum, mild erythema on paws, R ear moderate stenosis and discharge, L ear NAD LabYeast ++ R ear, left WNL, DxOtitis externaUnderlying allergies Tx topical ear meds, zenrelia for underlying itch, Plan: likely will need to cont on zenrelia--- 07/03/2026 09:22:49 AM LAN:Examinations - Resolved - k.s--- 07/03/2026 09:22:52 AM LAN:Vaccinations - Resolved -    Vital Signs    Weight: 33.3;       

Reason: Ears + Nails Appointment Notes: agClient Present: LibbyNurse: BellaHealthy Pets Wellness Testing: Done Yes / NoVaccination Type: UTDIntestinal worming: STHeartworm Prevention: STFlea Prevention: STTick control: STMicrochip: on fileInsurance and Healthy Pets Plus:Behaviour concerns: noneCurrent medications: did use epiotic but didnt work too wellCurrent Diet: puppy kibbleType of Shampoo/Frequency:Toileting: eddu normal__________________________________________________________________________History: Issues with ears, has tried cleaning but not helping Thinks can have little lumps come up over back sometimes- comes and goes. Can be itchy Examination: BAR bositerous but lovely Ear: both mild erythema, moderate brown discharge, no stenosis Coat clean and dryPaws NADOne testes descendedLaboratory: Both ear yeast +++Assessment: Otitis externa Treatment: Eastoic both ears Consent has been given by the client to proceed with this treatment  -  Yes/No Plan: Discussed possible skin allergies given , may be something that recurs, monitor for now, Scripts Needed - Yes or NoRevisit needed - Yes or No - ____ Days pleaseReason: Nurse: -vaccination -heartworm -worming -flea/ticks Exam: Lab: Assessment: Treatment: Plan:--- 12/05/2025 09:55:06 AM HT6:Examinations - Resolved -    Vital Signs    Weight: 26.6;       

    Vital Signs