C10023033 / invoice 10000

The intention of the following template is to clarify the minimum requirements for veterinary notes. This should not be used if it is a first claim as it will likely go on hold for more information required.GapOnly claim Insurance SummaryFirst Clinic Signs:nil Summary:annual health check and vacc Diagnosis:nil Treatment:DHPK and Proheart Fenpral dipsensed 

Annual health Check and Vaccination Vaccination history: DHPK HW prevention and type: Proheart Intestinal worming current: Fenpral - annual dispense Flea prevention current: Bravecto when remember  - not exactly on 3 months Diet: dog kibble Travel: NilAny Behavioral Issues: dog reactive- been working on this with MH- briefly mentioned they have been working on introducing to her boyfriends dog who is also reactive  Diarrhoea: No  Vomiting: No  Coughing: No Any exercise intolerance: No PU/PD: NoNo Current medications / dosage NilDemeanour/behaviour:  BAR , nervous , esp once examining  Dental score : 1/4 Capillary refill: < 2secs Mucous membrane colour: Pink Respiratory Rate: 16Heart/ Pulse rate: 112Heart Auscultation: NSF Lung sounds: NSF Lymph Nodes palpated normal Skin: NSFEyes: NSFEars: NSF Urogenital System: NSFMusculoskeletal : Forelimbs: NSF Hind limbs: NSF Spine: NSF  : not thoroughly examined Assessment: Normal clinical examination, fit for vaccinationPlan:Treatment today: -Vaccination Protech C3 b4964021A ex30.07.2026- Bronchoshield IN b5267024Aex 25.9.26 - Proheart 0.9ml sr12 batch** pretty anxious for needles - does not like restraint Did not mind the needles Ended up distracting with treats and administering vaccines without restraint -- was great , did not even flinch Owner administered intranasal consent to off label triennial use of protech C3 vaccination discussed and agreed -- discussed, touch base again next yearCould benefit from PVPS to take the edge offDHPK and Proheart due in 1 year 

client comms-called client to book a recheck for reactivity training- no answer- left message.Client called back, super keen for a catch up, but as the weather is too hot for both dogs we will hold off for the cooler weather and booka scheduled time. Client super keen to work on this.