Client Pre-Visit Intake
Case: Client Portal Intake - Eddy
Patient: Eddy
| Document Type | Client Portal Intake |
|---|---|
| Source | Client Portal / Owner Submitted |
| Document Date | 14/06/2026 |
| Uploaded | 14/06/2026 01:22 |
Extracted / Pasted Text
CLIENT PRE-VISIT PORTAL SUBMISSION
IMPORTANT: Client-submitted information is unverified until clinician review.
Physical food, treat, supplement and medication samples/packages were requested for RAC testing and label verification.
OWNER / PATIENT
Owner: Bright
Email: brightsinnoosa@gmail.com
Phone: 0435565909
Patient: Eddy
Species: Dog
Breed: Border Collie
Sex / desexed status: Male /Desexed
Age: 13yrs
Weight kg:
EXISTING CLIENT / PATIENT MATCHING DETAILS
Previous client?: Yes
Alternate / partner owner name:
Possible registered owner:
Previous patient name:
PRIMARY CONCERN
Diet concern
HISTORY / TIMELINE
Changed his diet - Is it okay?
DIET
Inner Wolf Kangaroo 500 grams daily
TREATS / CHEWS / SNACKS
Liver treat 50 grams
SUPPLEMENTS
1 multivitamin cenovis
MEDICATIONS / HERBS / TOPICAL PRODUCTS
ENVIRONMENT / EXPOSURES
LABEL / SAMPLE / RAC STATUS
Label review: Awaiting review
Physical sample: Bring physical label/sample required
RAC sample: RAC sample pending
Clinic notes:
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