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<br />r;-;~o:;:~:~- <br /> <br />j 0 AppeO!.f NOrr.l:1! <br />10D":; <br />o Sc~:y <br />ODr)' <br />ReCQI71\lH!l\da1i();:s: <br /> <br />2. Ev~.s <br />OAppe~r NC'onnul <br />ODisehal'ge <br />D!!1tb::1d <br />DE~'elid Defol1uitie~ <br />ReC-Clffil\lendatior.s: <br /> <br />3. E:!.~'!s <br />O.b"ppel!J' NOr!~ll\l <br />OInflsllled <br />OJtchy <br />OMit" <br />Rec~mmedaliOl:s: <br /> <br />4. !\o~e & Throat <br />OAppear Normal <br />ON::!sal Di~chllrsc <br />01nflamed Thro~ <br />ReCOlnCndn!ioHS: <br /> <br />5. Mouth, T ceth, Gums <br />OA,ppec.r Nonr:l'll <br />o Broken Teeth <br />Drafter BuiJdlllJ <br />OTU11'10(5 <br />OtHcers <br />RC::;OlnOlendatio!ts: <br /> <br />ExnmJlf;ltJon (,:li~cJilisl _~___"H_____' <br /> <br />DOily <br />OSheddll:g <br />o Matteci <br />OT\l!':'Iol'.~ <br /> <br />oll'il)' <br />DPa.;,d~es <br />DOi'!~::j" <br /> <br />DJIl1~c.(~OIl <br />DC<l(tt.act L <br />OO!l1~~- <br /> <br />R <br /> <br />OTUInDf L._ R,___ <br />OEscessi'.'c Hair <br />OOther <br /> <br />OlllJlul11ed TOllSils <br />OEnl.rgod Ly'mpil Glands <br />OOtil,,' <br /> <br />ornt1~:;l~c!J.,:j'lS <br />OLM$C: Teeth <br />DPyorre9!J <br /> <br />OOtil~:___u___u_\C <br /> <br />.-.-..-......-..-"- ....,.,... .------ ~ <br /> <br />OJ('I;nl p~(lbleJ1Js <br />ONr,jJ PI':)!,lem$ <br />DOtl~~r <br /> <br />6. Legs & r':.'!\\'~ <br />DAf'pcar Normal <br />OL~I~\(:lles.~ <br />DJ)~mi:lgC'd Li~a(l\elll:: <br />RCtf)Il:CJ1J:ltiOllb:~ <br /> <br />7. Helin <br />Dp.ppe;l.~'~ NO~~tlJ <br />OMum\er <br />Recommendatio/1b:: <br /> <br />8. Abdome." <br />DAprcl\\"b:l'!ort\Jul <br />OEl1lar!!cd OrQ,u::I1i <br />Orlllid' - <br />j~c:::~ml\=\ld:~li('liS: <br /> <br />9, tWlgS <br />DAppeal' ~;Jrmf11 <br />OAbl!O!'nl~! SOI'r:C <br />DCoug:hia3 <br />OCol}fl.estioIl <br />RecoJnendull{)Il:;: <br /> <br />1 O. (;l).~troinh~~tin.i\l Sy~t(,lll <br />DAppear:> Norma! <br />OExcc!'i\'c. Ga~ <br />DVomitiTlll Pfoblt:IU <br />D,'\:lc!'c'(i; <br />R~::():1:17\el:d.1tj()t\~: _._ <br /> <br />1 J. Crol:!l!ldt:!1 SY$hml <br />[JAppc~js Ncr:nd <br />OAbnQl'll1:.11 Uriu:l~'i011 <br />CGeill:~1 !>!,;;:h~rg(: <br />OAbllilrlll3l Teslicl..l~ <br />Re:OI:,mend:l.tICitlS: <br /> <br />12. ~!!:d SiIC!i <br />D:~,pp(:::!' N".lt!::~~ <br />OEx:::::ssi','cly Full <br />DJnfected <br />R.ec:1I!In;~ljdilti("l!l~: <br />!_------- <br /> <br />OS\(I'" OC)thel' <br />DFus\ <br /> <br />D.\br:mll1~l ]yl:l~s <br />o'rer.s~'1)ilinful <br />DOrher <br /> <br />OBn:athinB l)if'ficL\lty <br />OR~;:d P.:~p~l'atjnn <br />OOth,,' <br /> <br />DAb:~(lr~~d tccell <br />DPllrns:tcs <br />OOther <br /> <br />DE!lbr~?d Pr~~~LIl.\C' <br />OM:I:l1:1H:;-:.T\ll,1()i'li <br />OOt!lCf <br /> <br />D_~"~lt::~:'i:"~! <br />DOthe,. <br /> <br />~J1. <br /> <br />Ht))JA!<E SOCIETY OF <br />CO)"COI\J) & GREATER <br />C:.o\B.-\RRUS COl!NTY <br /> <br />i~ l- <br />$' rJ! if' <br /> <br /> <br />Vaccinations <br />DHLPP &. CQronll (dog) <br />FYRCP (ClIt) <br /> <br />I <br />l r place label hereJ <br /> <br />A\1im2!# <br /> <br />Rill I~.&__C~~__.., <br />,'^ ~~ ~ I <br /> <br />Canine Feline <br /> <br />Species <br /> <br />Breed <br />Sex <br /> <br />Male <br />Neutered <br /> <br />Female <br />_ Spayed <br /> <br />Age <br />Weight <br /> <br />Temp. <br /> <br />o <br /> <br />Date ! <br />Examined By <br /> <br />/ <br /> <br />BP a~ V\ VI tilt"' yYl.Q;. <br /> <br />Lab Tests <br /> <br />Htwm Test. <br />Fecal Exa..rn <br /> <br />Treatment History <br /> <br />I st set <br /> <br />Date -.---1-_--.-1_ <br />Date __._.J _------!_ <br /> <br />2nd set <br /> <br />,.---....-~-, <br /> <br />I <br />~lace label he;~ I <br />_J <br /> <br />Kennel Cough ~ _~ _. Type Rx <br /> <br />Rabies _/~_ Tag# <br /> <br />Dewarming <br />Task. <br />Strongid <br />P anacur <br />Droncit <br /> <br />_ ] year <br /> <br />3 year <br /> <br />Heartworm Preventive Started ._~ ___".J__ <br /> <br />__ Heartga;Q <br /> <br />Other <br /> <br />In.terceptor <br /> <br />Sentinel <br /> <br />J <br /> <br />In order to keep y(wr new pet hea'tl~v: we Jlrong/;.v ./-€C011Jlilcnd ~h(:r . <br />FO/! have this animal examined by a \."ereril1ario,:1 within se~:en days oj adopP(~i1, <br />, ,k\ll',?ji:~'m:ICll..(!':'" <br /> <br />&-5 <br />