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EQUINE RECORD Clinic Location Date Supervising DVM Client Name Phone Number ( ) email Address Address Street # City State Zip I authorize the RAVS Team to provide medical/surgical care to the animals listed below. I understand that there are inherent risks in all medical, surgical, and anesthetic procedures. I further understand that students will be involved in or performing the work under the supervision of a Veterinarian. Signature Patient# Name BCS Age weight Color/Markings Tally # Flunixin PPG Rx Castrate Detomidine ylazine Butorphanol Additional sedation Additional sedation Ketamine Valium Ket/Val Top Off Top Off Top Off Top Off Top Off Top Off Top Off time Hoof Patient# Name BCS Age weight Color/Markings Tally # Flunixin PPG Rx Castrate Detomidine ylazine Butorphanol Additional sedation Additional sedation Ketamine Valium Ket/Val Top Off Top Off Top Off Top Off Top Off Top Off Top Off time Hoof

Patient# Name BCS Age weight Color/Markings Tally # Flunixin PPG Rx Castrate Detomidine ylazine Butorphanol Additional sedation Additional sedation Ketamine Valium Ket/Val Top Off Top Off Top Off Top Off Top Off Top Off Top Off time Hoof Patient# Name BCS Age weight Color/Markings Tally # Flunixin PPG Rx Castrate Detomidine ylazine Butorphanol Additional sedation Additional sedation Ketamine Valium Ket/Val Top Off Top Off Top Off Top Off Top Off Top Off Top Off time Patient # Additional notes Hoof Patient #

Patient # Age EQUINE PATIENT CARE RECORD AND POST SURGICAL INSTRUCTIONS Clinic Location Date Supervising DVM Client Name Phone Number ( ) Address Street # City State Zip Patient Name or Description Wormer Given Ivermectin Anti-Toxin Given Vaccinations Administered Vaccines Due On Work toxoid toxoid toxoid toxoid Exam Routine Float see back Exam Routine Float see back Exam Routine Float see back Exam Routine Float see back Farrier Work Castration or Treatment For your horses long term health we strongly recommend that they receive regular booster vaccinations and a health and dental examination by a veterinarian every year. POST CASTRATION CARE INSTRUCTIONS If your horse has had surgery today it is important for their recovery that you follow these instructions and watch your animal closely for any problems. EERCISE: Exercise at a brisk trot for 30 minutes twice daily for 2 weeks. This will prevent swelling and encourage drainage at the incision. IMPORTANT: If your horse shows any of the following signs, please call the RAVS Veterinarian or your local veterinary clinic immediately: Unwillingness to eat or drink. Lethargy or unwillingness to move. Excessive swelling of the incision site (football size or larger). Any tissue or other material hanging from the incision site. Additional Comments: MEDICATIONS DISPENSED Patient Drug Dispensed Strength Quantity Dosing Instructions Diagnosis/Reason By IF YOU HAVE ANY CONCERNS ABOUT YOUR ANIMAL S CONDITION AFTER TREATMENT OR SURGERY PLEASE CONTACT DR. DAVIS AT (831)-809-8248

Patient# Name Patient# Name Patient# Name Patient# Name

EQUINE RECORD Clinic Location Fort Berthold Date 01-01-2001 Supervising DVM Eric Davis Client Name Joe Smith Phone Number ( 000 )000-0000 email Address Address 12234 Any Street Any City Any State 00000 Street # City State Zip I authorize the RAVS Team to provide medical/surgical care to the animals listed below. I understand that there are inherent risks in all medical, surgical, and anesthetic procedures. I further understand that students will be involved in or performing the work under the supervision of a Veterinarian. Signature Joe Smith Age Patient# 1 Jo Name Jo BCS weight Color/Markings 3 26 900 Dk bay, star and snip, white RH Tally # Weight Loss/ T=99.5, P= 28 (2 o AV block), R=16, lungs auscult clear Treatment Upper notes/recommendations incisors to client worn to gum line, recommend further reduction of 109 and 209 in 6 months, biannual dental care, feed supplementation with equine senior Surgeon/Care provider Anesthetist Scribe IvermectIn 9 Flunixin PPG Rx Castrate Hoof 9 III E Davis C McClinn E Ludwig exam performed No work needed Work performed Rostral Hooks 111 211 Caudal Hooks 311 411 Severe 308, 309 & 408, 409 309, 409 0.4 0.5 10:05 10:05 Detomidine ylazine Butorphanol Additional sedation Additional sedation Ketamine Valium Ket/Val Top Off Top Off Top Off Top Off Top Off Top Off Top Off time Patient# Name BCS Castration Age weight Color/Markings Tally # E Davis C McClinn E Ludwig Flunixin PPG Rx Castrate 3 Coyote 6 2 1000 D T=100.2, P= 32, R=12, lungs auscult clear, both testi palpable Quiet induction and recovery 10 Detomidine ylazine Butorphanol Additional sedation Additional sedation Ketamine Valium Ket/Val Top Off Top Off Top Off Top Off Top Off Top Off Top Off time 10 5.0 0.5 11 4 10:05 10:10 3 10 Hoof D I

2 Frankie 5 4 atient# Name BCS Age weight Wound,10 day old Color/Markings Tally # Deep laceration to left axial region and shoulder. Exploratory Sx, standing sedation, local block w/ 20 ml 2% carbocaine (shoulder) wood removed from axial wound, start PPG 35 ml IM BID 10 days & bute 1g PO BID 2 days, flush BID W/ nolvasan Surgeon/Care provider Anesthetist Scribe IvermectIn Flunixin PPG 8 Rx Castrate Hoof 35 E Davis C McClinn E Ludwig Detomidine ylazine Butorphanol Additional sedation Additional sedation Ketamine Valium Ket/Val Top Off Top Off Top Off Top Off Top Off Top Off Top Off time 4 Patient# Name BCS Age weight Color/Markings Tally # Flunixin PPG Rx Castrate Detomidine ylazine Butorphanol Additional sedation Additional sedation Ketamine Valium Ket/Val Top Off Top Off Top Off Top Off Top Off Top Off Top Off time Patient # 3.0 0.5 10:45 Doll 6 Additional notes 1.5 T=101.5, P= 36, R=20, lungs auscult clear, purulent d/c from axial wound, 4/5 lame, LF Weight loss. Feral broodmare, seen 3 months ago on range in good weight. Found today emaciated. Unable to Treatment examine notes/recommendations prior to to Ax. client All examinations unremarkable, no apparent injuries, dentition healthy. Owner opted to euthanize as we can not recommend any course to treat the mare. Admin 100 ml Euthasol 11:40 AM E Davis C McClinn E Ludwig 800 700 5.0 0.5 11 4 11:05 11:10 Chestnut, no markings 8 Grey mare, blaze, 4 white socks II Hoof I Patient #

Patient # Age EQUINE PATIENT CARE RECORD AND POST SURGICAL INSTRUCTIONS Clinic Location Fort Berthold Date July 1, 2009 Supervising DVM Eric Davis Client Name Joseph His Horse is Thunder Phone Number (123 ) 456-7890 Address 1234 Any Street, Mandaree ND 12345 Street # City State Zip Patient Name or Description 1 Jo-Jo 2 Frankie 3 Coyote 4 Doll Wormer Given Ivermectin Anti-Toxin Given 26 9ml ----- 3 8ml ---- 2 10ml 8 ----- ---- Vaccinations Administered toxoid toxoid toxoid toxoid Vaccines Due On 7/21/09 7/1/10 7/21/09 7/1/10 7/21/09 7/1/10 ----- ----- Work Exam Routine Float see back Exam Routine Float see back Exam Routine Float see back Exam Routine Float see back Farrier Work Castration or Treatment ----- ----- ----- ----- ----- Explore wound ----- ----- ----- ----- Euthanasia For your horses long term health we strongly recommend that they receive regular booster vaccinations and a health and dental examination by a veterinarian every year. POST CASTRATION CARE INSTRUCTIONS If your horse has had surgery today it is important for their recovery that you follow these instructions and watch your animal closely for any problems. EERCISE: Exercise at a brisk trot for 30 minutes twice daily for 2 weeks. This will prevent swelling and encourage drainage at the incision. IMPORTANT: If your horse shows any of the following signs, please call the RAVS Veterinarian or your local veterinary clinic immediately: Unwillingness to eat or drink. Lethargy or unwillingness to move. Excessive swelling of the incision site (football size or larger). Any tissue or other material hanging from the incision site. Additional Comments: Patient 1) see back, patient 3) please wait one day prior to exercising Coyote. 2) please monitor Frankie for any increase in lameness or loss of appetite, please call if his condition does not improve, or appears to worsen. We will contact you in three days for an update. MEDICATIONS DISPENSED Patient Drug Dispensed Strength Quantity Dosing Instructions Diagnosis/Reason By 2 Bute Tablets 1 Gram 4 Give 1 tablets by mouth twice daily for 2 days, draining tract ED left Front Leg 2 PPG ----- 750ml Give 35 cc in the muscle twice daily for 10 days & axia ED IF YOU HAVE ANY CONCERNS ABOUT YOUR ANIMAL S CONDITION AFTER TREATMENT OR SURGERY PLEASE CONTACT DR. DAVIS AT (831)-809-8248

Name 1 Jo Jo Severe 307-308, 407-408 D D 309, 409 Upper incisors worn to the gumline, 109 and 209 overgrown due to loss of opposing teeth. Addressed buccal and lingual points, and reduced 109 & 209 by ½ with power float,. Remaining overgrowth should be corrected in 6 months. Please contact a local veterinarian to schedule this. +*