Veterinary Inspection Form
Inspection Report ID
Animal Information:
Animal Name
Species
Dog
Cat
Horse
Other
Breed
Age
Color/Markings
Sex:
Male
Female
Neutered/Spayed
Microchip or ID Number:
Health Assessment:
Weight
lbs/kg
Body Condition Score
Underweight
Ideal
Overweight
Vaccination Status
Up-to-date
Not up-to-date
Unknown
Medical History
Any known medical conditions, treatments, or medications
Physical Examination:
General Appearance
Alert and responsive
Lethargic
Aggressive
Other
Coat and Skin
Normal
Abnormal
Eyes
Clear and bright
Redness or discharge
Ears
Clean
Waxy buildup
Mouth and Teeth
Healthy gums and teeth
Dental issues
Heart Rate
beats per minute
Respiratory Rate
breaths per minute
Temperature
degrees Fahrenheit/Celsius
Additional Comments
Veterinarian Comments
Findings, recommendations, or additional notes
Submit
Should be Empty: