Profile Example
Emergency Responders, Vets, Sitters, Walkers, Groomers, and Kennels are able to access your pet’s data by going to this button, Vet – Caregiver Access Pet Data, on the website’s home page. Access instructions are printed on the Pet’s Collar Tag and on the Pet’s ID Card. Pet owners can also use this method of access to quickly review their pet’s essential records.
Additionally, snapping a shot of the QR Code on the Pet’s Collar Tag or Pet ID Card will access the pet’s essential records.
Pepper’s Profile
Dog Profile Information CLOSE OPEN
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Pet Parent’s Name:
Allan Smart
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Dogs’s Name / Pet Access ID
Pepper Smart / g7ZV6p
Land Line
1 888-555-2222
Cell Phone
1 888-555-5678
Alt. Phone
1 888-555-7790
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Address
3300 Elmcrest Drive, Lakewood
Dallas, TX 75206
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Birth Date
06/08/1989
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Breed – Blood Type – Gender
Border Collie – 4 – C – Female
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Height – Weight – Coat Color – Eye Color
16 in. – 38 lbs – Black & White – Brown
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City Dog Registration / No. / Date
Dallas 90011500267328 09/08/2019
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County Registration / No. / Date
Colin D-143823 05/08/2019
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Clinic-Hospital / No. / Date
Pet Health 4452345 08/09/2021
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Microchip Provider / No. / Date
Banfield 90011500267328 12/06/2019
Apartment Registration / No. / Date
Willow Bend Apt. D 4226 10/10/2019
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Other Registration / No. / Date
Citywide Kennel 1622 08/05/2022
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Purebred Registry / No. / Date
American Kennel Club (AKC) SR12345678 05/08/2020
Medical & Item Alerts OPEN CLOSE
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Functional Assistance Items
Pepper wears or has had:
Transvenous Pacemaker Implant
Hearing Aids
Prescription Glasses
Hip Replacement
Knee Replacement
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Alert Condition:
Medical Alert
Please be advised that Pepper has Asthma -
Medicine
Preventil, 1
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Contact / Telephone
Allan Smart 1 972-555-1213
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Alert Note
Medication given daily, every morning, after walk.
Emergency Contacts OPEN CLOSE
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Name:
Sam Fenton
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Relationship / Contact Type
Family Member — Primary
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Land Line
1 972-816-7661
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Cell Phone
1 972-835-7350
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Alt. Phone
1 888-555-2222
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Email
michael@mcgrathdesign.com
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Address:
4225 Rosemeade Road, Apt 240
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City/State/Zip/Country
Carrollton, TX 75076 – USA
Care Instructions & Information OPEN CLOSE
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Travel Itinerary & Contact:
Vacation: Depart - October 5 , Return - October 19, 2023
Hotel: Playa Maya Plaza, Playa del Carman, Mexico
Call or Txt: Allan 888-555-1212 or Lynn 888-555-4321
Optional Hotel Phone: 52 989 342 5436 -
ESA Emotional Support Animal:
Lynn is considering an ESA Certification.
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Physicial Condition:
He is in very good physical condition and is energetic and athletic. As he is relatively young he does not have any age-related structural or medical issues.
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Temperment:
Once welcomed, he is friendly with everyone, even strangers and does not become easily agitated or aggressive. He is protective of the home and will bark at exterior movements.
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Diet:
Eats primary dried food. We feed him the Gentle Canine Nutrition dog foods, Chicken and Real Beef and Bacon, 3 to 4 cups, daily.
Eats breakfast after going out and dinner around 6:00 pm.
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Habits:
Pepper likes to sit next to you and begs for attention. He will also beg to go out and is obedient and will come when called.
He will also get off of the furniture when told! -
Exercise:
We exercise Pepper twice daily, early morning 30-minute brisk walk and in the evening a walk to nearby Central Bark Dog Park. It has an open field where we play frisbee.
Once a week Pepper does an obstacle course workout at Canine Training Center. -
Other Notes:
Because Pepper is a highly active dog, be careful when he is around children and the elderly as he will often actively greet them, jump up on them, and attempt to lick them.
Veterinarian Contacts OPEN CLOSE
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Veterinarian Name:
Richard Durbin, DVM, – Primary
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Specialty
General Behavior Advise
Land Line
1 888-556-1222
Cell Phone
1 972-555-4564
Fax
1 214-555-8484
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Email
richard@hilored.com
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Clinic - Hospital Name
Pet Health Clinic
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Address:
6623 Lakeview Plaza Drive, Building 320
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City/State/Zip/Country
Frisco, TX 75093 – USA
Vaccinations OPEN CLOSE
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Vaccinations (mm/dd/yyyy)
DA2PP or DHPP – Distemper Hepatitis Parainfluenza Parvovirus (DHPP) – 4/6/2016
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Rabies 1 Year – 6/8/2023
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Rabies 3 Year – 12/30/2024
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Canine Distemper – 4/12/2022
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Leptospirosis – 12/30/2024
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Heartworm – 12/30/2024
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Heatstroke – 4/9/2022
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Bordetella – 4/9/2022
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Lyme Disease – 4/9/2022
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Canine Influenza – 4/9/2022
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Rattlesnake Vaccine – 9/9/2022
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Travel Related Vaccination Notes:
Completed travel-related vaccinations and documentation August of 2024.
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Other Vaccination Notes:
Provide this information to the Kennel.
Pet Pharmacy OPEN CLOSE
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Pharmacy Name
PetPharm
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Land Line
1 888-555-1212
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Fax
1 214-555-4846
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Address:
2600 Ben Franklin Drive
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City/State/Zip/Country
Dallas, TX 75080 – USA
Medicines & Supplements OPEN CLOSE
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Medication:
Diazepam1
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Prescription # / Expiration Date
54466766 – 12/2024
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Dosage / Frequency
5mg – daily
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Pet Name / Pharmacy Name
Pepper / PetPharm
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Notes:
Calm Pepper's anxiety when many people are present.
Medical Conditions OPEN CLOSE
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Medical Condition:
Diarrhea treatment for diabetic dog
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Last Treated:
12/12/2023
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Taking Medication as Treatment:
Yes
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Notes:
Using Purina DM Dietetic for control of diarrhea.
Recent Treatments OPEN CLOSE
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Condition Treated:
Fungal infection
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Practitioneer / Treatment Date
Richard Durbin, DMV – 07/12/2020
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Facility Name
Pet Health Clinic – Ointment
Land Line
1 888-555-1212 NaN
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Cell Phone
1 214-555-5432 NaN
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Fax
1 469-555-1234 NaN
Address:
6630 Lakeview Plaza, Suite 220
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City/State/Zip/Country
Frisco, TX 75093 – USA
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Recent Treatment Notes:
Topical antibacterial soaps and shampoos can help. It is often necessary to shampoo pets once to twice a week, while also using any prescribed antibiotic therapy for maximal chances of recovery.
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Patient Portal URL:
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Portal User Name:
forpets
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Portal Password Hint:
dog group
Surgeries & Procedures OPEN CLOSE
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Surgery:
Benign skin mass
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Surgeon / Surgery Date
David Brown, DVM – 05/07/2020
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Facility Name
Pet Health Center – Out-patient
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Land Line
1 888-555-1212 NaN
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Fax
1 469-555-2233 NaN
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City/State/Zip/Country
Frisco, TX 75093 – USA
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Notes:
Lab work came back negative. Return yearly for checkup.
Address:
6630 Lakeview Plaza, Suite 220
Allergies OPEN CLOSE
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ASTHMA-HAY FEVER / Asthma
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Reactions:
Wheezing, chest tightness, and shortness of breath.
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Notes:
Dander from pet hamsters seems to cause an asthmatic reaction in Pepper.
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FOOD / Dairy (lactose)
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Reactions:
Diarrhea - Significant
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Notes:
Refrain from feeding any milk related food or drink.
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FOOD / Beef
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Reactions:
Vomiting after eating beef products followed by severe diarrhea.
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Notes:
Considered a food allergy to beef as that was a primary ingredient Pepper had consumed on a daily basis. Allergy ceased when we switched to chicken-based diet.
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MATERIAL SUBSTANCE / Bedding (e.g. Wool)
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Reactions:
Signs are usually skin irritations and itching at the point of contact. This type of allergy is usually the least common type of allergy in dogs.
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Notes:
We removed a wool throw blanket that Pepper started to sleep on.
Appointments OPEN CLOSE
Health Insurance OPEN CLOSE
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Insurance Company
PetHealth Insurance – Primary Health Plan
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Plan Name
Canine Care Plus
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Subscriber Number / Group Number
D3746-234 / 3628
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Policy Members
Truffle Smart, Pepper Smart
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Insurance Card Number / Card Date
349832 – 5/22/2019
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Payer ID Number / Effective Date
28932521 – 6/1/2019
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COPAY – O Visit / Spec OV / Urg Care / ER
10 / 20 / 50 / 80
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RX COPAY – Tier 1 / Tiew 2 / Tier 3
5 / 15 / 60
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Consumer Phone
1 888-555-1212 NaN
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Provider Phone
1 555-555-1212 NaN
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Health Insurance Notes:
$1200 deductible plan for each pet.
Truffle’s Profile
Cat Profile Information CLOSE OPEN
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Pet Parent’s Name:
Allan Smart
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Cat’s Name / Pet Access ID
Truffle Smart / c5BV2o
Land Line
1 888-555-2222
Cell Phone
1 888-555-5678
Alt. Phone
1 888-555-7790
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Address
3300 Elmcrest Drive, Lakewood
Dallas, TX 75206
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Birth Date
03/10/2017
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Breed – Blood Type – Gender
American Shorthair – B – Female
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Height – Weight – Coat Color – Eye Color
10 in. – 13 l lbs – Caramel Tabby – Green
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City Cat Registration / No. / Date
Dallas Micro Chip 06/04/2017
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County Registration / No. / Date
Collin C-47839 06/04/2017
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Clinic-Hospital / No. / Date
Pet Health C-3728 07/06/2017
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Microchip Provider / No. / Date
Banfield 90011500267328 08/05/2017
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Apartment Registration / No. / Date
Willow Bend Apt C-1780 06/05/2017
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Other Registration / No. / Date
//
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Purebred Registry / No. / Date
American Association of Cat Enthusiasts (AACE) 458905 06/05/2030
Medical & Item Alerts OPEN CLOSE
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Alert Condition:
Medical Alert
Please be advised that Truffle has Angina -
Medicine
Insulin, 1
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Contact / Telephone
Lynn Smart 1 888-555-1214
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Alert Note
Requires eating up to 1 hour before insulin injection.
Emergency Contacts OPEN CLOSE
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Name:
Lynn Smart
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Relationship / Contact Type
Pet Parent — Primary
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Land Line
+1 888-555-1212
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Cell Phone
+1 888-555-4321
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Alt. Phone
+1 800-555-1246
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Email
michael@yourpetdata.com
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Address:
3300 Elmcrest,
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City/State/Zip/Country
Dallas, TX 75207 – USA
Care Instructions & Information OPEN CLOSE
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Travel Itinerary & Contact:
Vacation: Depart - October 5 , Return - October 19, 2022
Hotel: Playa Maya Plaza, Playa del Carman, Mexico
Call or Txt: Allan 888-555-1212 or Lynn 888-555-4321
Optional Hotel Phone: 52 + 989-342-3543 -
ESA Emotional Support Animal:
I have an ESA Certification Letter from a Licensed Mental Health Professional, Louise Hartgrove, LPC. At times I bring Truffle with me when visiting relatives and traveling.
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Physicial Condition:
Truffle is 6 years old and in good physical condition.
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Temperment:
She is friendly once she gets to know you, but does not like groups of people or children.
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Diet:
Prefers canned tuna and chicken food.
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Habits:
She will often sit in your lap and requires that her box is kept fresh, otherwise she may use the furniture.
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Exercise:
Play with cat frequently using balls, wands, springs. Considering an exercise wheel.
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Other Notes:
Be careful not to let her escape when you open the door as she will return only when she feels like it.
Veterinarian Contacts OPEN CLOSE
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Veterinarian Name:
Lucinda Monroe, DVM, – Primary
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Specialty
Feline Surgery
Land Line
+1 888-555-1212
Cell Phone
+1 888-555-1444
Fax
+1 469-555-1236
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Email
michael@yourpetdata.com
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Clinic - Hospital Name
Premiere Veterinarian Clinic
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Address:
16200 Preston Road, #A
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City/State/Zip/Country
Dallas, TX 75248 – USA
Vaccinations OPEN CLOSE
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Vaccinations (mm/dd/yyyy)
Rabies – 2/12/2021
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Feline Distemper (Panleukopenia) – 8/10/2021
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Feline Herpesvirus – 8/10/2021
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Calicivirus – 7/7/2022
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Feline Leukemia Virus (FeLV) – 4/6/2019
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Bordetella – 5/16/2021
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Feline Immunodeficiency Virus – 8/8/2022
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Travel Related Vaccination Notes:
Truffle is always boarded when we travel and does not have travel-related vaccinations.
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Other Vaccination Notes:
Truffle is always boarded
Pet Pharmacy OPEN CLOSE
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Pharmacy Name
PetPharm
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Land Line
+1 888-555-4444
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Fax
+1 214-555-4321
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Address:
7620 Montfort Lane
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City/State/Zip/Country
Dallas, TX 75248 – USA
Medicines & Supplements OPEN CLOSE
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Medication:
Dichlorophene Toluene
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Prescription # / Expiration Date
364532 – 03/2024
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Dosage / Frequency
120mg – daily
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Pet Name / Pharmacy Name
Truffle Smart / PetPharm
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Notes:
Administer with 160 mg of Toluene for six days
Medical Conditions OPEN CLOSE
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Medical Condition:
Diarrhea treatment for diabetic cat.
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Last Treated:
06/12/2022
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Taking Medication as Treatment:
no
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Notes:
Purina DM Dietetic for Cats
Recent Treatments OPEN CLOSE
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Condition Treated:
Arthitis Back Pain
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Practitioneer / Treatment Date
Richard Durbin, DMV – 04/09/2021
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Facility Name
Pet Health Clinic – Injection
Land Line
+1 555-555-1212
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Cell Phone
+1 214-555-1245
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Fax
+1 214-555-2244
Address:
6630 Lawnwood Drive
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City/State/Zip/Country
Frisco, TX 75026 – USA
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Recent Treatment Notes:
Spinal disc deterioration
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Patient Portal URL:
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Portal User Name:
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Portal Password Hint:
Surgeries & Procedures OPEN CLOSE
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Surgery:
Abdominal wall cancer
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Surgeon / Surgery Date
David Brown, DVM – 01/12/2021
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Facility Name
Pet Health – Surgery Center
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Land Line
1 888-555-1234 NaN
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Fax
1 469-555-4121 NaN
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City/State/Zip/Country
Frisco, TX 75026 – USA
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Notes:
Cancer area was removed and Truffle has been cancer-free after procedure.
Address:
6630 Lawnwood Drive
Allergies OPEN CLOSE
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ENVIRONMENT / Dust
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Reactions:
Crusty skin patches, Hot spots, Localized hair loss, Skin damage, Scratching, Itching
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Notes:
Nasal irrigation and clean your cat
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FOOD / Beef
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Reactions:
Vomiting after eating beef products followed by diarrhea.
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Notes:
Considered a food allergy to beef as that was a primary ingredient she had consumed on a regular basis, ceased when we switched to a chicken-based food.
Appointments OPEN CLOSE
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Appointment:
Emotional - ADD - Psychiatric Annual Check-up
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Practitioner
Michelle Davis, DMV
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Date / Time
8/5/2022 — 10:30 AM
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Facility Name / Treatment Type
Pet Health Clinic – Periodic Checkup
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Land Line
+1 888 555 1212
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Cell Phone
-
Fax
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Address:
4360 Highline Drive
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City / State / Zip / Country:
Dallas, TX 75026 USA
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Appointment Notes:
Annual wellness and check-up booster shots
Health Insurance OPEN CLOSE
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Insurance Company
PetHealth Insurance – Primary Health Plan
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Plan Name
Cat Care Plus
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Subscriber Number / Group Number
C3746-234 / 3628
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Policy Members
Truffle Smart, Pepper Smart
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Insurance Card Number / Card Date
349832 – 7/21/2020
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Payer ID Number / Effective Date
28932521 – 7/21/2020
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COPAY – O Visit / Spec OV / Urg Care / ER
10 / 20 / 50 / 85
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RX COPAY – Tier 1 / Tiew 2 / Tier 3
5 / 15 / 60
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Consumer Phone
+1 888-555-1242
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Provider Phone
+1 555-555-1212
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Health Insurance Notes:
$1500 Deductible
P.O.Box 702005
Dallas, TX 75370-2005
8:00 A.M. – 5:00 P.M. (CST)
Monday – Friday
support@yourpetsdata.com
214-673-0065 Owner
972-835-7350 Webmaster
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