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Case: Client Portal Intake - Eddy
Patient: Eddy

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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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Edit Clinical Intake / AI Consult

Case: Client Portal Intake - Eddy Patient: Eddy

Case: Client Portal Intake - Eddy
Patient: Eddy