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Pet Report Card

This document is a report card from Crescenta Valley Veterinary Hospital detailing a patient's vaccination status and health assessment. It includes sections for various health checks such as coat, eyes, ears, and gastrointestinal systems, along with recommendations for treatments and follow-ups. The report also allows for recording the patient's weight, diet, and any necessary supplements.

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36 views1 page

Pet Report Card

This document is a report card from Crescenta Valley Veterinary Hospital detailing a patient's vaccination status and health assessment. It includes sections for various health checks such as coat, eyes, ears, and gastrointestinal systems, along with recommendations for treatments and follow-ups. The report also allows for recording the patient's weight, diet, and any necessary supplements.

Uploaded by

thebeautybrandstore
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

CRESCENTA VALLEY VETERINARY HOSPITAL REPORT CARD

For: _____________________________________________________ ____________


(Patient) FIRST NAME LAST NAME Date

Vaccination Program
 Up to Date
 Vac. Due: Bordetella _____ CIV _____ DHLP-P _____ DHP-P _____ Rattle Snake_____ Rabies _____ FVRCP-Cv _____ Leukemia _____
 Vac. Given: Bordetella _____ CIV _____ DHLP-P _____ DHP-P _____ Rattle Snake_____ Rabies _____ FVRCP-Cv _____ Leukemia _____

1. Coat & Skin 8. Abdomen


 Appears normal  Itchy  Fleas Cats
 Appears normal  Abnormal Mass Felv/FIV/HW Test
 Dull / Dry  Matted  Hair Loss
Scabs Tumors Pigment  Enlarged Organs  Tense/Painful  Negative
  
Hotspot Infection- Anal Sacs  Fluid  Other _______________  Positive
  
Bacterial  Recommended
9. Lungs
2. Eyes Cats / Dogs
 Appears normal  Breathing Difficulty
 Appears normal  Infection: L___ R___  Abnormal sound  Rapid Respiration Annual Internal Parasite
 Discharge: L___ R___  Cataract: L___ R___  Coughing  Other _______________ Tests Needed:
 Inflamed: L___ R___  Lenticular Sclerosis  Congestion _____________________  Fecal
 Eyelid Deformities  Other _______________  4DX
10. Gastrointestinal System Result(s)
3. Ears ______________
 Appears normal  Abnormal Feces ______________
 Appears normal  Tumor: L___ R___  Excessive Gas  Parasites
 Inflamed  Yeast: L___ R___  Vomiting Problem  Other ________________ Flea, Tick & Internal
 Itchy  Bacteria: L___ R___  Anorexia (appetite) _____________________ Parasite Control
 Mites  Hematoma Needed:
 Cats-Revolution
11. Nervous System  Dogs-Sentinel
4. Nose & Throat  Appears normal  ParaStar
 Appears normal  Inflamed Tonsils  Seizures  CapStar
 Nasal Discharge  Enlarged Lymph Nodes  Mentation  Frontline Plus
 Inflamed Throat  Other ________________  Cranial Nerves  House
 Spine/Reflexes  Yard
5. Mouth, Teeth, Gums  Conscious Proprioception

 Appears normal  Loose Teeth 12. Urogenital System


 Tartar Buildup  Ulcers  Appears normal  Recommend neuter/spay
 Gingivitis  Pyorrhea (pus)  Abnormal urination  Mammary tumors
 Broken/worn teeth  Tumors  Genital discharge  Enlarged prostate
 Halitosis  Abnormal testicles
6. Legs & Paws
13. Weight ______________ lbs.
 Appears normal  Nails Too Long
 Lameness (LF, RF, LR, RR)  Joint Problems  Normal range  Gain __________ lbs.
 Damaged Ligaments  Foot/Hair Discoloration  Lose _________ lbs.  Other ________________

14. Diet
 Excellent  Supplements needed:
 Good _____________________
7.Diagnosis
 Heart / Description Needs:
 Appears
(Numbers normal to numbers above)
below correspond Fast

 Murmur  Other _____________
 Lab
 Slowresults by phone / consult__________________
/ attached  Stay on Flea/Internal Parasite Control year round.
__________________________________________________  Brush teeth daily to promote oral health.
__________________________________________________ __________________________________________________
__________________________________________________ __________________________________________________
__________________________________________________ __________________________________________________
__________________________________________________ __________________________________________________
__________________________________________________ __________________________________________________
__________________________________________________ __________________________________________________
DR. ___________________________________________ Need ___________________________ in _______ days

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