DOG ASSESSMENT RECORD
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Name <<AnimalName>> |
No <<ShortShelterCode>> |
No Times Returned <<NoTimesReturned>> |
Microchip No. <<IdentichipNumber>> |
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Most Recent Entry Date <<MostRecentEntry>> |
Age on 09/02/10 <<Age>> |
Area from <<OriginalOwnerPostcode>> |
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Sex <<Sex>> |
Neutered? <<Neutered>> <<NeuteredDate>> |
Breed <<BreedName>> |
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Colour <<BaseColourName>> |
Distinguishing Features <<Markings>> |
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Reason for entry <<ReasonForEntry>> |
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Public Comments <<AnimalComments>> |
Private Comments <<HiddenAnimalDetails>> |
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Vaccination Name |
Date Required |
Date Given |
Wormed |
Fleaed |
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<<VaccinationName1>> |
<<VaccinationRequired1>> |
<<VaccinationGiven1>> |
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<<VaccinationName2>> |
<<VaccinationRequired2>> |
<<VaccinationGiven2>> |
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<<VaccinationName3>> |
<<VaccinationRequired3>> |
<<VaccinationGiven3>> |
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<<VaccinationName4>> |
<<VaccinationRequired4>> |
<<VaccinationGiven4>> |
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BEHAVIOUR ASSESSMENT
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Friendly |
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Timid |
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Nervous |
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Aggressive |
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Submissive |
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Bold |
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Unclean in bed |
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Destructive |
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Food Proud |
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DOG ASSESSMENT COMPLETED |
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Medication |
Frequency |
Date Started |
Treatments |
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<<MedicalName1>> |
<<MedicalFrequency1>> |
<<MedicalStartDate1>> |
<<MedicalTreatmentsGiven1>> / <<MedicalTreatmentsRemaining1>> |
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<<MedicalName2>> |
<<MedicalFrequency2>> |
<<MedicalStartDate2>> |
<<MedicalTreatmentsGiven2>> / <<MedicalTreatmentsRemaining2>> |
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<<MedicalName3>> |
<<MedicalFrequency3>> |
<<MedicalStartDate2>> |
<<MedicalTreatmentsGiven3>> / <<MedicalTreatmentsRemaining3>> |
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<<MedicalName4>> |
<<MedicalFrequency4>> |
<<MedicalStartDate3>> |
<<MedicalTreatmentsGiven4>> / <<MedicalTreatmentsRemaining4>> |
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ALL DOGS MUST BE KEPT A MINIMUM OF 7 DAYS
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DOGS NAME <<AnimalName>> |
REF NO <<ShortShelterCode>> |
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7 DAY ASSESSMENT |
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READY FOR REHOMING YES/NO |
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COMMENTS |
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SIGNATURE OF SUPERVISOR |
DATE |
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14 DAY ASSESSMENT |
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READY FOR REHOMING YES/NO |
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COMMENTS |
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SIGNATURE OF SUPERVISOR |
DATE |
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MANAGERS REPORT |
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REHOME |
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OTHER |
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COMMENTS |
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MANAGERS SIGNATURE |
DATE |
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Socialising |
Comment |
Sign |
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Dogs |
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Bitches |
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Puppies |
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Cats |
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Training |
Comment |
Sign |
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Heel |
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Sit |
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Down |
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Stay |
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Come |
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Leave |
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No |
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<<AnimalName>> <<ShortShelterCode>>
ANIMAL CENTRE DOG VETERINARY RECORD
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Date & Vet |
Comment |
Sign |
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ANIMAL CENTRE WEIGHT SHEET
kg
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Date |
Weight |
Weight Change |
Comment |
Sign |
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<<MostRecentMonthEntry>> |
1 |
2 |
3 |
4 |
5 |
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30 |
31 |
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Diarrhoea |
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Blood in motions |
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Coughing |
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Bleeding pads |
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Vomit |
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Walked |
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Bathed |
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Groomed |
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Vet visit |
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Comment |
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