Entrance exam record
Office of the Campus Veterinarian – Washington State University
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Animal ID |
Location |
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Species |
P.I. |
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DOB |
ASAF # |
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Gender |
Source: |
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Date of Arrival |
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Date of Exam |
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GENERAL APPEARANCE ( )NORMAL ( )ABNORMAL |
INTEGUMENTARY ( )NORMAL ( )ABNORMAL |
MUSCULOSKELETAL ( )NORMAL ( )ABNORMAL |
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CIRCULATORY ( )NORMAL ( )ABNORMAL |
RESPIRATORY ( )NORMAL ( )ABNORMAL |
DIGESTIVE ( )NORMAL ( )ABNORMAL |
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GENITOURINARY ( )NORMAL ( )ABNORMAL |
EYES ( )NORMAL ( )ABNORMAL |
EARS ( )NORMAL ( )ABNORMAL |
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NEURAL SYSTEM ( )NORMAL ( )ABNORMAL |
LYMPH NODES ( )NORMAL ( )ABNORMAL |
TEETH ( )NORMAL ( )ABNORMAL |
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Temperature: |
Pulse: |
Respiration: |
Weight: |
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PROBLEM LIST |
Initial Plan |
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Clinician Signature _______________________________________________ |
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DATE |
ANIMAL HEALTH CHART |
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