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8
Questions
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1
Christensen Farms
Client
Flow
Age
Barn Type
Breed
Surgery
Sex
Site
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2
Purpose of Visit
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3
Brief History
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4
Examination Findings
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5
Exam Date
-
Date
Year
Month
Day
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6
Veterinary Medical Summary
Tentative Diagnosis:
Treatment Plan:
Medication:
Dosage:
Issuing Vet:
Frequency:
Necropsy findings:
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7
Opportunity
Yes/No
Comments
Environment
Row 0, Column 0
Row 0, Column 1
Biosecurity/Sanitation
Row 1, Column 0
Row 1, Column 1
Feeder settings
Row 2, Column 0
Row 2, Column 1
Water
Row 3, Column 0
Row 3, Column 1
Health
Row 4, Column 0
Row 4, Column 1
Injectable treatments
Row 5, Column 0
Row 5, Column 1
Vaccination Schedule
Row 6, Column 0
Row 6, Column 1
Documentation
Row 7, Column 0
Row 7, Column 1
Mortality
Row 8, Column 0
Row 8, Column 1
Environment
Biosecurity/Sanitation
Feeder settings
Water
Health
Injectable treatments
Vaccination Schedule
Documentation
Mortality
Yes/No
Row 0, Column 0
Comments
Row 0, Column 1
Yes/No
Row 1, Column 0
Comments
Row 1, Column 1
Yes/No
Row 2, Column 0
Comments
Row 2, Column 1
Yes/No
Row 3, Column 0
Comments
Row 3, Column 1
Yes/No
Row 4, Column 0
Comments
Row 4, Column 1
Yes/No
Row 5, Column 0
Comments
Row 5, Column 1
Yes/No
Row 6, Column 0
Comments
Row 6, Column 1
Yes/No
Row 7, Column 0
Comments
Row 7, Column 1
Yes/No
Row 8, Column 0
Comments
Row 8, Column 1
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8
Overall Evaluation
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