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Past, Birth, and Referral History

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Note: Many aspects of the current complaint history and status and past, birth, and referral history may be interrelated and overlap.

Objective

  • To obtain information about the past, birth, and referral history of patient from the client.

What to Include

Past history:

  • Medical
  • Treatments and responses
  • Surgical (including neutering, tail docking, ear cropping etc.)
  • Trauma
  • Vaccination/immunizations
  • Diagnostic tests
  • Medications
  • Weight history
  • Geographic history (travel) and origin
  • Environmental
  • Previous diet

Birth history: Where, when, complications, littermates (number and health status, if known), etc.

Referral history: Including referral practice