C10001640 / invoice 10000

07/03/2026 Reason:  Check ears
History: Scratching at ears and now under neck.

Current medications: 

What Preventative health cover is being used and do you need to purchase any today?
Vaccination:
Worming: 
Flea control: 
Heartworm Prevention: 

Examine: 
Mentation: BAR 
Body condition score: /5 
MM: pink               CRT: <2sec
HR:                RR: 
LN: NAD
Temperature: NT 

Ocular: NAD
Oral/Dental stage:
Ears: L and R ear= mild discharge. Moderate erythema.
Cardiovascular: NAD
Respiratory: NAD
Gastrointestinal: NAD
Integumentary & lumps (measurement, location): NAD
Musculoskeletal: NAD 
Urogenital: NAD
Neurological: NAD

Problem List:

Assessment: 

Treatment: 

Plan: