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