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Vet Details

Vet Practice Name*

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Examination Date

Dog Details

Dog Owner First Name*

Dog Owner Last Name*

Dog Name*

Dog Type*

Guide DogAssistance DogBreeding DogCommunity Dog

Physical Condition*

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Skin/Coat Condition*

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Dog Weight in KG*

Body Score i*

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Vaccination/treatments*

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General Health Checks*

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If any treatments are required/recommended please note them here

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Registered in Ireland No. 55616
Charity No. CHY6006

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