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“Holistic Healing Home
for your animal companions"
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Dr. Jeff
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My Pet's Update

To help me efficiently evaluate the prescription your pet has received, please monitor the following symptoms. Any or all of them may apply to your animal companion. Please keep all of the details in your journal, and send me a short update 24 hours before our appointment.

Please always list % improvement, worsening or no change of these symptoms in your update. In some cases (like itching) it is also helpful to quantitate the symptom on a 1 to 10 scale. 1 being normal. 10 being excessive. For example. If your pet is constantly itching to the point of bleeding and unable to sleep, play, or enjoy any of life's normal activities, this would be a 10/10 itch level. A normal (occasional) itch level would be 1/10.

Please restrict routine updates to one update/pet/week or just prior to your next appointment.

Overall (which includes every symptom and especially energy and mood) since your last appointment or new remedy is your pet:
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Your Name(*)
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Email Address:(*)
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Your Pet's Name(*)
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Last Appointment
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Last Remedy(ies) Name(s), Potency & Dose(s)
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Other medications and doses
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Next Appointment
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Date(s) of dosing
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Any obvious change within hours to days after a dose?
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If yes please describe the response
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Energy
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Mood
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Discharges
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Discomfort
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Itching
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Length of Sleep (includes overnight waking)
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Dreaming (how?)
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Changing Sleep Position
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Other Info
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Thirst (Amount & Frequency)
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Appetite
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Eating Unusual Foods (or indigestibles)
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Temp Preference Change
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Seeking Solitude
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Clinginess
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Interactivity
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Desire to Exercise
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Other Info
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Ability to Excersise
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Lameness
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Ease of Lying Down
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Ease of Getting Up
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Stool Nature & Frequency
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Vomiting
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Respiratory
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Vocalizing and Moving in Sleep
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Other Info
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Pickiness
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Respiratory Rate
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Sneezing
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Coughing
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New Symptoms and Notes
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Please enter the numerical answer to the question: 10 plus 3 equals? (*)
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