My vaccination record. My health history. Please ... - Merial Rewards

My vaccination record.
age calicivirus
rhinotracheitis (FVr)
Panleukopenia
chlamydophila
leukemia Virus (FelV)
rabies
rabies tag No.
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1 yr ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ _____________
2 yrs ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ _____________
3 yrs ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ _____________
4 yrs ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ _____________
5 yrs ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ _____________
6 yrs ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ _____________
7 yrs ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ _____________
8 yrs ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ _____________
9 yrs ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ _____________
10 yrs ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ _____________
11 yrs ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ _____________
12 yrs ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ _____________
13 yrs ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ _____________
14 yrs ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ _____________
15 yrs ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ _____________
16 yrs ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ _____________
17 yrs ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ _____________
18 yrs ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ _____________
19 yrs ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ _____________
20 yrs ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ _____________
Please do these things
at home for me.
at home, I need regular treatments for parasites. the check-off chart
below will help make sure we don’t miss a single dose.
heartworm/Intestinal Parasite control
Product _______________________________________________
Monthly treatments
year Jan Feb Mar apr May Jun Jul aug Sep oct Nov Dec
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Fleas, ticks/external Parasite control
Product _______________________________________________
Monthly treatments
year Jan Feb Mar apr May Jun Jul aug Sep oct Nov Dec
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this pet health record comes to you courtesy of your veterinarian
and Merial, the maker of innovative technology for parasite control
and disease prevention.
® ® ® ®® PUreVaX is a registered trademark of Merial.
©2008 Merial limited. Duluth, Ga. all rights reserved.
PUr08cNhlthrecorD.20914850
Cert no. XXX-XXX-000
XX%
Die-cuts, do not print
Die-cuts, do not print
M y
h e a lt h
r e co r D .
My name ________________________________________
My breed _______________________________________
My birthday ______________________________________
Date of my first health check ________________________
F FS M MN
My tattoo/microchip number ________________________
Pet owner name __________________________________
address _________________________________________
________________________________________________
Phone __________________________________________
Veterinary clinic information
Double-sided
tape
emergency clinic phone ______________________________
My health history.
I need a regular physical examination to help me stay healthy.
this checkup gives my veterinarian the chance to look me over and
find any potential health problems before they get serious. During
the exam, my veterinarian will ask you questions and might call for
laboratory tests. We’ll learn about preventive health care, including
vaccination, parasite control, proper nutrition and dental care.
Medical/Surgical/Dental
year Procedure/therapy
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heartworm test
Date Pos. Neg. comments
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Intestinal Parasites/Fecal exam/Deworming
Date Pos. Neg. comments
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________ ❑ ❑ _________________________________
________ ❑ ❑ _________________________________
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external Parasites/Fleas, ticks, Mites, lice, etc.
Date Pos. Neg. comments
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________ ❑ ❑ _________________________________
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Nutrition
Date Weight comments
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testing/Blood Work/Urinalysis, etc.
Date comments
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other
Date comments
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POCKET