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Office of the Campus Veterinarian | Washington State University

Entrance exam record

Office of the Campus Veterinarian – Washington State University

Animal ID

Location

Species

P.I.

DOB

ASAF #

Gender

Source:

Date of Arrival

Date of Exam

GENERAL APPEARANCE

( )NORMAL ( )ABNORMAL

INTEGUMENTARY

( )NORMAL ( )ABNORMAL

MUSCULOSKELETAL

( )NORMAL ( )ABNORMAL

CIRCULATORY

( )NORMAL ( )ABNORMAL

RESPIRATORY

( )NORMAL ( )ABNORMAL

DIGESTIVE

( )NORMAL ( )ABNORMAL

GENITOURINARY

( )NORMAL ( )ABNORMAL

EYES

( )NORMAL ( )ABNORMAL

EARS

( )NORMAL ( )ABNORMAL

NEURAL SYSTEM

( )NORMAL ( )ABNORMAL

LYMPH NODES

( )NORMAL ( )ABNORMAL

TEETH

( )NORMAL ( )ABNORMAL

Temperature:

Pulse:

Respiration:

Weight:

 

PROBLEM LIST

Initial Plan

1.

Dx.

Rx.

2.

3.

4.

Clinician Signature _______________________________________________

 

DATE

ANIMAL HEALTH CHART

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