C10029485 / invoice 10000

Reason: VaccinationAppointment Notes: Booked Online: 12/03/2026 09:54:25 AMHISTORY:  Presented for vaccination. Owner notes occasional head shaking, but believes it to be a habit. Appetite and defecation are normal. The dog has experienced minor weight loss but is now stable. Does not chew dental sticks, but does chew on general sticks. Previously swam frequently on a farm, now has occasional beach visits and regular park walks. Current meds: Nexgard Spectra monthly. Due tapewormer todayVaccination: C4 vaccination administered. Kennel cough component is due in November.Parasite Prevention: UTD. Nexgard Spectra monthly. Worming tablets (3) dispensed for current weight of 26.1kg.Pre-existing conditions: noneAccess to toxins eg. Rodenticide: none EXAMINATION:Body Condition Score: 5/9Pain Scale (0-4): 0/4Hydration status (%): hydration clinically adequateCardiovascular: cardiac auscultation normal, normal rhythm, pulse pressures normal and synchronousRespiratory: thoracic auscultation clear sounds bilaterally, respiratory effort normal, no nasal dischargeNeurological: neurologically no significant findingsMusculoskeletal: ambulating normally, Gastrointestinal:- Oral: normal, no mouth pain, dental score (1-4): grade 1- Abdominal: no detectable pain on abdominal palpation- Rectal: not performedUrinary: NSFReproductive: NSFIntegument/Ears: Ears examined and appear normal. No signs of otitis.Lymph Nodes: NSFEyes: NSFDemeanour/Behaviour: Calm and well-behaved during consultation. PROBLEM LIST:- Routine vaccination due- Mild dental tartar (Grade 1)- Mild head shaking (owner-reported, determined non-pathological) DIFFERENTIAL DIAGNOSIS/ DIAGNOSIS:Healthy patient for vaccination. DIAGNOSTICS:None ASSESSMENT:  A 4-year-old dog presented for a routine health check and vaccination. Examination revealed mild dental tartar but was otherwise unremarkable. Ears appear clean and free of infection, with head shaking deemed behavioural. Current weight is stable at 26.1kg and body condition is ideal. Parasite prevention is current. TREATMENT:  - C4 triennial vaccination administered. 5260012 Exp 25.03.2027- 3 worming tablets dispensed. PLAN:Return in November for kennel cough vaccination and annual health check.Continue monthly Nexgard Spectra.Monitor dental health. Advised on dental chews and home care.Home into owner's care. CLIENT COMMUNICATION:Discussed the vaccination given today and the plan for the kennel cough booster later in the year. Advised that the dog may be quiet or have mild soreness at the injection site, but this is unlikely. Discussed dental care and the benefit of dental chews. Confirmed the parasite prevention plan is appropriate. Reassured owner that the ears appear healthy and the head shaking is likely a habit.    Vital Signs    Weight: 26.1;