Billing Sheet
Minton Veterinary Service LLC
Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Bill to:
*
Farm Site
New Client
*
No
Yes
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Bill Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Farm Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Trip Charge
*
Time
*
Veterinarian
*
Please Select
Dr. Minton
Dr. Engle
Dr. Almeida
Dr. Buehler
Dr. Carpenter
Dr. Chapman
Dr. Gellert
Dr. Nagorske
Dr. Strauch
Dr. Wolter
Bill Dunn, Production Consultant
Jarred Kopkey, Production Consultant
Robert Supancik, Production Consultant
Terry Harrell, Production Consultant
Andrew Bolinger, Field Service
Tyler Fraser, Field Service
Field Service Personnel
Veterinary Technician
Site Type
Please Select
Backgrounder
Calf Ranch
Cow Calf Site
Dairy Site
Feedlot
Finisher
Gilt Development Unit
Nursery
Show
Sow Unit
Wean to Finish
Other
Breeder
Hatchery
Layer Complex
Pullet Complex
Turkey
Purpose of Visit
*
Check Animals Off Feed / Sick
Consultation Services
Courtesy Call/Follow-up
Exportation of Livestock
Farm Call
Grower / Producer Meeting
Health Inspection/CVI
Herd Visit
Inspection for Health Paper
Integrated Management Service
Monthly Herd Visit
Office Call
Routine Site Visit
Routine Testing
Site Assessment or Audit
Surgery
Telemedicine
Telephone Correspondence
VCPR
Vet-to-Vet / Cust Contact
Walk Thru Cattle Barn
Walk Thru Dairy Barn
Other
Professional Services: Consultation Services
Rows
Service
Comments
Conference Call/Consultation
1
Data analysis/Interpretation
2
Develop Diagnostic Plans
3
Develop SOP/Protocols
4
Diagnostic Interpretation
5
Meeting Presentation
6
Meeting with production staff
7
Poultry Consulting
8
Poultry Consulting Fee -
9
Producer meeting
10
Telemedicine
11
Telephone correspondence
12
Vet to Vet
13
Species
*
Swine
Cattle
Dairy
Sheep
Goats
Poultry
Veal
Other
Services (Quantity Field Required)
ATP Meter Testing
Bleed Services
Brucellosis Testing
Collection Services
Euthanize Services
Health Paper Inspection
Integrated Management Services
Preg Check
Tattoo
TB Services
Treat Services
Wand RFID Tags
ATP Meter Testing: # Swabs
Bleed: # Calves
Bleed: # Finisher Hog(s)
Bleed: # Farrowing/Nursery Pig(s)
Bleed: # Sows/Gilts
Brucellosis: # Tested
Collect: # Fecal Swabs
Collect: # Feces Samples
Collect: # Feed Samples
Collect: # Nasal Swabs
Collect: # Oral Fluids
Collect: # Processing Fluids
Collect: # Tissues
Collect: # Tracheal Swabs
Collect: # Water Samples
Euthanize: Performed How?
Euthanize: # Animals
Inspected for Movement - Interstate: #
Inspected for Movement - International: #
Fill Date/Group #:
# of head:
Scan RFID Tags: # of head:
Preg Check Sows: Used office ultrasound?
No
Yes
Preg Check : # Sows
Preg Check: Palpated # Cows
Tattoo: #
TB: # TB Tested
TB: # TB Read
Treat: #
Wand RFID: # Tags
Production Support
Rows
Quantity
Comments
Marketing Fee $1.00 per head
Research $105.00 per hour
Professional Services: Cattle
Rows
Service
Comments
Biosecurity Site Audit
14
Check Sick Cattle
15
Consult w/ Production Personnel
16
Discuss
17
Discuss Breeding Programs & Targets
18
Discuss Breeding Stock and /or Genetics
19
Discuss Building Setups/Ventilation
20
Discuss Diarrhea/Scours Problems
21
Discuss Disease Problems
22
Discuss Feed Milling
23
Discuss Feeder Adjustment
24
Discuss Lab Results
25
Discuss Milk Replacer Feeding
26
Discuss Observations of Walk-Thru
27
Discuss Pneumonia Problems
28
Discuss Reproduction Problem
29
Discuss Treatment of Calves
30
Discuss Vaccination Programs
31
Evaluate
32
Herd Inspection
33
Necropsy
34
Necropsy & Submit Tissues
35
Ration Analysis
36
Review
37
Review Biosecurity
38
Review Feed Program
39
Review Nutrition Program
40
Review Production Records
41
Training
42
Vaccinate
43
Walk Thru
44
Walk Thru Calf Barns
45
Walk Thru Cattle Barn
46
Walk Thru Dairy Calf Barns
47
Professional Services: Goats, Sheep, & Other
Rows
Service
Comments
Biosecurity Site Audit
48
Consult w/ Production Personnel
49
Discuss
50
Discuss Breeding Programs & Targets
51
Discuss Breeding Stock and /or Genetics
52
Discuss Building Setups/Ventilation
53
Discuss Diarrhea/Scours Problems
54
Discuss Disease Problems
55
Discuss Feed Milling
56
Discuss Feeder Adjustment
57
Discuss Lab Results
58
Discuss Observations of Walk-Thru
59
Discuss Pneumonia Problems
60
Discuss Reproduction Problem
61
Discuss Vaccination Programs
62
Evaluate
63
Herd Inspection
64
Necropsy
65
Necropsy & Submit Tissues
66
Ration Analysis
67
Review
68
Review Biosecurity
69
Review Feed Program
70
Review Nutrition Program
71
Review Production Records
72
Training
73
Vaccinate
74
Walk Thru
75
Professional Services: Poultry
Rows
Service
Comments
Biosecurity Site Audit
76
Consult w/ Production Personnel
77
Discuss
78
Discuss Building Setups/Ventilation
79
Discuss Diarrhea/Scours Problems
80
Discuss Disease Problems
81
Discuss Feed Milling
82
Discuss Feeder Adjustment
83
Discuss Lab Results
84
Discuss Observations of Walk-Thru
85
Discuss Pneumonia Problems
86
Discuss Reproduction Problem
87
Discuss Vaccination Programs
88
Evaluate
89
Herd Inspection
90
Necropsy
91
Necropsy & Submit Tissues
92
Ration Analysis
93
Review
94
Review Biosecurity
95
Review Feed Program
96
Review Nutrition Program
97
Review Production Records
98
Training
99
Walk Thru
100
Walk Thru Layer Facility
101
Walk Thru Pullet House
102
Professional Services: Swine
Rows
Service
Comments
Biosecurity Site Audit
103
Check Pig(s) Coughing
104
Check Pig(s) Scouring
105
Consult w/ Production Personnel
106
Discuss
107
Discuss Breeding Programs & Targets
108
Discuss Breeding Stock and /or Genetics
109
Discuss Building Setups/Ventilation
110
Discuss Diarrhea/Scours Problems
111
Discuss Disease Problems
112
Discuss Farrowing Programs
113
Discuss Feed Milling
114
Discuss Feeder Adjustment
115
Discuss Gestation Programs
116
Discuss Gilt Flow & Replacements
117
Discuss Lab Results
118
Discuss Nursery Programs
119
Discuss Observations of Walk-Thru
120
Discuss Pig Management & Sorting
121
Discuss Pneumonia Problems
122
Discuss PRRSv. Control
123
Discuss Reproduction Problem
124
Discuss Sow Unit Production
125
Discuss Swine Programs
126
Discuss Treatment of Pigs
127
Discuss Vaccination Programs
128
Evaluate
129
Evaluate pigs
130
Finisher Site Review
131
Herd Inspection
132
Necropsy
133
Necropsy & Submit Tissues
134
PQA Plus Certification
135
Ration Analysis
136
Review
137
Review Biosecurity
138
Review Feed Program
139
Review Nutrition Program
140
Review PigChamp Records
141
Review Production Records
142
Training
143
Vaccinate
144
Walk Thru
145
Walk Thru Breeding & Gestation Barn(s)
146
Walk thru Farrowing Barn(s)
147
Walk Thru Finisher Buildings
148
Walk Thru Isolation Barn
149
Walk Thru Nursery Buildings
150
Walk Thru Wean-to-Finish Buildings
151
Surgical
Anesthesia / Tranquilization
Castrate
Cryptorchid Surgery
Dewclaw Removal
Hernia Repair
Local Anesthetic Fee
Rectal Prolapse
Sterilization Fee
Vaginal Prolapse
Vasectomize Boar(s)
Other
# Anesthesia/Tranquilization
# Castrated
# Cryptorchid Surgeries
# Dewclaw Removals
# Hernia Repairs
# Rectal Prolapses
# Vaginal Prolapses
# Boars (Vasectomy)
# Other Surgeries
RX Medication/Dispensing
Rows
Medication/Item
Amount
1 Medication/Item
2 Medication/Item
3 Medication/Item
4 Medication/Item
5 Medication/Item
6 Medication/Item
Comments
Submit
Should be Empty: