C10013488 / invoice 10000

Reason: Skin Ongoing With Kt Appointment Notes: Overdue remindersReason: Client Present:Nurse:Healthy Pets Wellness Testing: Done Yes / NoVaccination Type:Intestinal worming:Heartworm Prevention:Flea Prevention:Tick control:Microchip:Insurance and Healthy Pets Plus:Behaviour concerns:Current medications:Current Diet:Type of Shampoo/Frequency:Toileting:__________________________________________________________________________History: left ear Overall happier.Left hind between  digit 3 and 4  . Examination: Laboratory: Assessment: ongoing skin management  improving with itraconazole. Left ear still some discharge but not inflammmed. Left hind interdigital cyst. Treatment: Cytopoint 40mg sqContinue itraconazole sid. Recheck 2 wkNeocort paw and epson salts soak. Consent has been given by the client to proceed with this treatment  -  Yes/No Plan: Scripts Needed - Yes or NoRevisit needed - Yes or No - ____ Days pleaseHistory-Update:Consent has been given by the client to proceed with this treatment  -  Yes/No Reason: Nurse: -vaccination -heartworm -worming -flea/ticks Exam: Lab: Assessment: Treatment: Plan:    Vital Signs    Weight: 23.2;