Nebraska Airedale Terrier Association

My Pet's Health Checklist!!

Pet's Name: __________________ Birthdate: (Year______ Mo.______ Day _____)

Breed: _____________ Sex: (Circle one) INTACT M F or ALTERED M F (Date: _____)

Identification: DNA Profile: (Circle One) Y N AKC REG. # __________________

Tatoo #____________________ Microchip # ______________________

SCREENING TESTS:

TEST DATE RESULT
     
     
     

CURRENT VACCINATIONS: ( Indicate DATE! Please use pencil; update regularly!)

Rabies: ___________ DHLPP: ___________ OTHER: _______________

CURRENT MEDICATIONS: (Indicate date administered/drug/dosage/and condition for which drug was prescribed! Use pencil; update regularly!)

DATE:
MEDICATION/DOSAGE FOR: CONDITION
     
     
     

CURRENT HEALTH PROBLEMS: ILLNESSES, INJURIES, AND SURGICAL INTERVENTIONS: (Please start on the bottom line to insure that your pet's most current health issues are readily accessible!)

DATE SYMPTOMS DIAGNOSIS TREATMENT
       
       
       
       

THINGS THAT CONCERN ME ABOUT MY PET'S HEALTH: (e.g., ITCHY SKIN, POOR APPETITE, ETC. ! __________________________________________________________________________________ __________________________________________________________________________________

Club Information : Events Calendar : Hot Topics : Hot Tips : Rescue : Choosing a Puppy : Rx Checklist : Gallery : Boutique : Library : Links : Site Map : Contact Us : Home

©2001 - 2010 Nebraska Airedale Terrier Association
Problems or Comments - Contact webmaster@nebraska-airedales.com.
Created and maintained by MoonDance Farm Creations.
Disclaimer