Veterinary Prescription
[YOUR COMPANY NAME]
Date: October 8, 2055
I. Veterinarian Information
Veterinarian Name: [YOUR NAME], DVM
License Number: 987654321
Email: [YOUR EMAIL]
II. Client and Patient Information
Field | Details |
|---|
Owner's Name: | Maryjane Dare |
Owner's Address: | Irvine, CA 92602 |
Phone: | 222 555 7777 |
Patient Name (Animal): | Max |
Species: | Canine |
Breed: | Labrador Retriever |
Age: | 5 years |
Weight: | 65 lbs |
Microchip ID: | 1234567890 |
III. Prescription Details
Medication | Dose | Frequency | Duration | Instructions |
|---|
Amoxicillin | 250 mg | Twice daily | 7 days | Administer orally with food |
Prednisone | 5 mg | Once daily | 5 days | Administer with food, reduce dosage gradually |
Tramadol | 50 mg | As needed (up to 3x/day) | 10 days | Administer for pain management |
IV. Special Instructions
Ensure the animal is hydrated and well-fed during the treatment.
Monitor for any signs of allergic reactions such as swelling, difficulty breathing, or hives.
If symptoms worsen, contact the clinic immediately.
Do not discontinue medication without consulting a veterinarian.
V. Refills
Medication | Refills |
|---|
Amoxicillin | 0 |
Prednisone | 1 |
Tramadol | 1 |
VI. Signature and Authorization
I, [YOUR NAME], hereby prescribe the medications listed above for the patient under my care, and confirm that they are necessary for the treatment of the listed condition.
Date: October 8, 2055
This prescription is valid for veterinary use only and is intended solely for the animal named above.
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