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Go to site For Pet Owners

Customized client discharge form

To create a customized client discharge form, please follow the steps below and input the requested information. After you click on "Create Discharge Form," you will be directed to a page to view your customized form. If you are satisfied with your choices, printout your customized form. If you are not satisfied with your choices, you will have an opportunity to return to this page and edit your selections.


Step 1:

Please input the following information about your clinic:

Step 2:

Please select the information you would like to include on your customized client discharge form (you may select all or none of the options for additional information).

,
has diabetes. Because diabetes is caused by a shortage of insulin, your pet will need treatment with insulin such as Vetsulin® (porcine insulin zinc suspension).

Administering Vetsulin

Please give {Pet's Name} [X] units of insulin [once/twice] daily.

Please select from the list below for additional information to include on your customized form:

Feeding your dog

Please select from the list below for additional information to include on your customized form. If you have a cat patient, skip ahead to the feeding your cat section.

For dogs on once-daily administration of Vetsulin:

For dogs on twice-daily administration of Vetsulin (2 options):

OR

Feeding your cat

Exercise

It is important for {Pet's Name} to exercise.

Please select from the list below for additional information to include on your customized form:

Monitoring your pet

It is important that you learn to monitor {Pet's Name}.

Please select from the list below for additional information to include on your customized form:

Please select the additional content that should be included with this item:

Reevaluation of your pet

{Pet's Name} will need to be reevaluated in "X" "days/weeks/months"; please schedule an appointment. Please call our clinic if you have any problems or questions.

Additional Instructions:

Step 3:

If you have finished entering your information and making your content selections, please click on the button below to view your customized client discharge form.