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PWAC2 Discharge Form
PWAC2 Discharge Form
PWAC2 Discharge Form
NAME OF CLIENT:
PHONE NUMBER:
NAME OF PET:
DATE OF ADMISSION:
DATE OF DISCHARGE:
WEIGHT AT ENTRY:
WEIGHT AT
DISCHARGE:
YES NO
PET (APPARENTLY) OK:
PRESENCE OF INJURY/IES:
PRESENCE OF TICKS/FLEAS:
ANY OTHER ANOMALLY:
IF YES, PLEASE STATE:
______________________
Client Signature/Date
______________________
PetWiseAnimal Clinic
Unit 1-2 Glenby Bldg., McArthur Highway, Paligui, Apalit, Pampanga 2016
petwiseph@gmail.com
0917-102-3242
Vet In-Charge/Date
PetWise Animal Clinic
PET DISCHARGE FORM
Discharge instructions for: ____________________ Date: _____________
Procedure performed: _______________________
MEDICATIONS
1. ____________________________________________________
______________________________________________
2. ____________________________________________________
______________________________________________
3. ____________________________________________________
______________________________________________
4. ____________________________________________________
______________________________________________
FOOD
Restrict access to food for the first 6 hours after discharge from clinic, then feed small amounts.
Small amounts of water are okay to offer after discharge from the clinic.
Specific feeding instructions: __________________________________________________
ACTIVITY
Minimize activity for 5-7 days.
Minimize activity for 3 days.
Activity should be limited to leash walks only to use the bathroom for the specified duration.
SUTURES
Discourage licking or chewing at the sutures or incision site. Check the wound for swelling,
redness or discharge. If you notice any of these conditions, call the vet immediately and have
your pet checked.
Elizabethan Collars (Lampshade Collars) are available for your pet if they will not leave the
sutures alone. Call us for one if it is needed.
BANDAGES
It is very important to keep the bandage clean and dry. When your pet goes outside, cover the
bandage with a plastic bag. If the bandage becomes wet, soiled, develops an odor, or your pet
starts chewing at it, replace it with fresh bandage after cleaning it.
YOUR PET NEEDS
Drain removal in 4-5 days.
Suture removal in 7-10 days.
Bandage change/check/removal in ____ day/s.
PetWiseAnimal Clinic
Unit 1-2 Glenby Bldg., McArthur Highway, Paligui, Apalit, Pampanga 2016
petwiseph@gmail.com
0917-102-3242
A recheck every ___ day/s.
Please call us if you are unsure what to give your pet. We are here to help!
PetWiseAnimal Clinic
Unit 1-2 Glenby Bldg., McArthur Highway, Paligui, Apalit, Pampanga 2016
petwiseph@gmail.com
0917-102-3242