[Christina Prange]

Intake Checklist

Dog Name(s) Cheyanne, Charlie

Veterinarian Dr Fahrling & Orange County

Veterinary Practice: Southpoint Animal Hospital

Address:5601 Fayetteville Road

City/State/Zip:Durham, NC 27713

Phone: (919) 226-0043

Fax:(866) 272-1484

Payment Instruction/Finalize

Rescue Discount? yes, 20 %

Medical

Approximate Age of Dog: Vet at Orange County estimated age 8; Dr Fahrling estimated age 8 (w/o reading the vet estimate from Orange County)

Birthdate if known: if age 8, estimated 2003

Weight:59 lb

Scanned for Microchip: Microchip ID:Microchip inserted by Orange County,

Vaccines (comparing any known vaccine history on dog – do not over vaccinate)

Rabies

DHLPP

Bordetella

Fecal – Orange County de-wormed however I had to give Charlie Panacur 9/22, 23, 24 due to worms in stoo.

Heartworm Test Results – HW Neg

Spay/Neuter Confirm – Neutered

Dr Comments about dog – overall health/healthy eyes, ears/skin/lumps & bumps?/required medicines, etc

Boarding Facility:

Address:

City/State/Zip:

Phone:

Fax:

Payment Instruction/Finalize

Rescue Discount?

Fostering/Ongoing – foster with Christina Prange

Photo

Bio

Heartworm pill dates

Frontline dates

[Christina Prange]

Todd adopted by Jill Dutton of Union, SC in September 2011.

[Christina Prange]

I called back the woman whose daughter had the visiting airedale. I was trying to tell her that Sandy Sutton would go down and pick up the dog from the daughter house. After calling every day through the weekend, the lady answered on the Tuesday or so and she said the dog never came back to the house. So I don’t know what happened to the dog.

[Author]

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