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Practice *
---Vethouse branch 1Vethouse branch 2Vethouse branch 3
Date of Appointment *
Appetite *
IncreasedDecreasedNormal
Thirst *
Urination *
IncreasedDecreasedNormalBloody
Defecation *
IncreasedConstipatedDiarrheaNormal
Vomiting *
YesNo
Coughing *
NoOccasionalFrequent
Sneezing *
NoOccasionalFrequentWith nasal discharge
Vision/Eyes *
NormalAbnormal
Hearing *
NormalDecreased
Skin/Coat *
NormalHair lossRednessItchingLump/tumorOther abnormality
Ears *
NoNormalOdorDischargeRednessShaking head/scratching
Activity *
NormalIncreasedIncreased
Pain *
NoneMildModerateSevere