Free Animal Medical Record Template
Animal Medical Record
Prepared by: [YOUR NAME]
Facility: [YOUR COMPANY NAME]
Animal Information
|
Field |
Details |
|---|---|
|
Animal Name: |
Max |
|
Species: |
Dog |
|
Breed: |
Golden Retriever |
|
Gender: |
Male |
|
Age: |
5 years |
|
Weight: |
28 kg |
|
Microchip Number: |
123456789ABC |
|
Owner Name: |
Baby Bartell |
|
Owner Contact Information: |
baby@you.mail |
Medical History
|
Date |
Visit Purpose |
Observations/Findings |
Treatment Administered |
|---|---|---|---|
|
01/15/2089 |
Annual Check-Up |
Healthy, no issues |
Rabies and DHPP Vaccination |
|
07/22/2089 |
Skin Irritation |
Mild dermatitis on back legs |
Prescribed medicated shampoo |
Current Visit
Date: 03/20/2090
Reason for Visit: Routine dental cleaning and general health check-up.
Observations:
-
Teeth show moderate tartar buildup.
-
Otherwise healthy with no abnormalities observed.
Diagnostics:
|
Test |
Result |
Remarks |
|---|---|---|
|
Blood Test |
Normal |
No further action |
|
Dental X-ray |
Normal |
Routine cleaning recommended |
Treatment Plan
|
Treatment/Medication |
Dosage |
Duration |
Remarks |
|---|---|---|---|
|
Dental Cleaning |
N/A |
Completed on 03/20/2090 |
Good oral health maintained |
|
Medicated Shampoo |
As directed |
Ongoing |
Use weekly for skin health |
Vaccination Record
|
Vaccine |
Date Administered |
Next Due Date |
|---|---|---|
|
Rabies |
01/15/2089 |
01/15/2092 |
|
DHPP |
01/15/2089 |
01/15/2090 |
Notes
Max is in excellent health. Schedule the next annual check-up for March 2091. Monitor oral health and provide chew toys to reduce tartar buildup.
Signature of Veterinarian: ________________________
[YOUR NAME]
03/20/2090
