C10030543 / invoice 10000

Reason: Ear Infection Appointment Notes: GPReason:  consult  History: Brought in by: Diet: Worming: Heartworm:Fleas: Ticks:  Medications:  Other:Vaccines/other meds due or near due: Examine: 1. BCS:     /52. Integument: nad3. Musculoskeletal: nad 4. Teeth: nad 5. Eyes: nad 6. Ears: nad 7. Lymph Nodes: nad 8. Cardiovascular/Circulatory:   nad  9. Respiratory/Pulmonary:  nad 10. Uro-genital: nad 11. Gastrointestinal: nad ->11a Anal Sacs: not examined 12. Behaviour: 13. Other: Treatment: Diagnosis: Plan:Reminders  Updated: YES/NO Procedure for Neptra: 1. cytology should be done to confirm bacteria and or fungus (consult and cytology charge) 2. We will clean the ear prior to administration of the first dose** ears should be dry before applying meds ** use any ear cleaner ** make appointment for 2 weeks ** cytology should be done (charged but no repeat consult fee) ** a reminder is set after the first dose for 45 days recheck 3. please do not clean the ear with any product for 45 days after the first dose unless instructed by us to do so.    Vital Signs    Weight: 7;