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Vet Case Submission
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Vet Case Submission
Vet Case Submission
Steve
2026-06-10T16:27:10-05:00
SWS Medical Case Form
Pet Information
Pet Name
*
Date
*
Time
Species
*
Select
Dog
Cat
Breed / Type
Color / Markings
Microchip Number
Location Type
*
Select
PUPStop
Foster
Foster Name
Sex
Select
Male
Female
Spayed / Neutered
Select
Yes
No
Unknown
Age Approx.
Weight (lbs)
Temp (°F)
Presenting Issue
Presenting Issue
*
Additional Notes
Current Meds
Additional Notes
Protocol Category
URI / Cough
Diarrhea
Skin
Eye
Ear
Injury / Limp
Parvo Suspect
Other
Other Protocol Category
Treat per protocol
Request VOR input
URGENT - contact VOR
Diagnostics
None
SNAP
SNAP Result
Select
Positive
Negative
Pending
Fecal
Fecal Test Results
Hookworms
Roundworms
Whipworms
Coccidia
Giardia
X-ray Area
Images attached
Sent for review
Bloodwork
Sent out
Results attached
Other Diagnostics
Vet Communication
Question / Request for Vet
*
Additional Email Recipients
Optional. These recipients will also receive this submission.
Upload Photos / Files
Allowed: images, PDF, Word documents.
Staff
Staff Name
*
Follow-up Needed
Submit Vet Case
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