Profile Example
Dog Profile Information CLOSE OPEN
Pet Parent’s Name:
Allan Smart
Dogs’s Name / Pet Access ID
Pepper Smart / g7ZV6p
Land Line
+1 888-555-1212
Cell Phone
+1 888-555-6589
Address
3300 Elmcrest Drive, Lakewood
Dallas, TX 75206
Birth Date
10/07/2018
Breed – Blood Type – Gender
Border Collie – 1.1 – A1 – Male
Height – Weight – Coat Color – Eye Color
14 in. – 35 l lbs – Black & White – Black
City Dog Registration / No. / Date
Dallas 635475864 1/8/2020
County Registration / No. / Date
Collin CC-348637 2/4/2020
Clinic-Hospital / No. / Date
Pet Health Today 4452345 4/10/2021
Microchip Provider / No. / Date
Banfield 90011500267328 2/4/2020
Apartment Registration / No. / Date
The Meadows 1024 5/9/2022
Other Registration / No. / Date
0/0/0
Purebred Registry / No. / Date
American Kennel Club (AKC) AKC 6234293 5/9/2021
Medical & Item Alerts OPEN CLOSE
Functional Assistance Items
Pepper wears or has had:
NaN Alert Condition:
Medical Alert
Please be advised that Pepper has Asthma
Medicine
Preventil
Contact / Telephone
Allan Smart +1 972-555-1213
Alert Note
Medication given daily, every morning, after walk.
Emergency Contacts OPEN CLOSE
Name:
Sam Fenton
Relationship / Contact Type
Family Member — Primary
Cell Phone
+1 972-835-6587
Alt. Phone
+1 888-555-3333
michael@mcgrathdesign.com
Address:
4225 Rosemeade Road, Apt 242
City/State/Zip/Country
Carrollton, TX 75076 – USA
Care Instructions & Information OPEN CLOSE
Travel Itinerary & Contact:
Vacation: Depart - October 5 , Return - October 19, 2024
Hotel: Playa Maya Plaza, Playa del Carman, Mexico
Call or Txt: Allan 888-555-1212 or Lynn 888-555-4321
Optional Hotel Phone: 52 989 342 5436
ESA Emotional Support Animal:
Lynn is considering an ESA Certification for Pepper.
Physicial Condition:
He is in very good physical condition and is energetic and athletic. As he is relatively young he does not have any age-related structural or medical issues.
Temperment:
Once welcomed, he is friendly with everyone, even strangers and does not become easily agitated or aggressive. He is protective of the home and will bark at exterior movements.
Diet:
Eats primary dried food. We feed him the Gentle Canine Nutrition dog foods, Chicken and Real Beef and Bacon, 3 to 4 cups, daily.
Eats breakfast after going out and dinner around 6:00 pm.
Habits:
Pepper likes to sit next to you and begs for attention. He will also beg to go out and is obedient and will come when called.
He will also get off of the furniture when told!
Exercise:
We exercise Pepper twice daily, early morning 30-minute brisk walk and in the evening a walk to nearby Central Bark Dog Park. It has an open field where we play frisbee.
Once a week Pepper does an obstacle course workout at Canine Training Center.
Other Notes:
Because Pepper is a highly active dog, be careful when he is around children and the elderly as he will often actively greet them, jump up on them, and attempt to lick them.
Veterinarian Contacts OPEN CLOSE
Veterinarian Name:
Richard Durbin, DVM, – Primary
Specialty
General Behavior Advise
Land Line
+1 888-555-1212
Fax
+1 972-555-2121
richard@hilored.com
Clinic - Hospital Name
Pet Health Clinic
Address:
6620 Lawnwood Plaza Drive, #110
City/State/Zip/Country
Frisco, TX 75093 – USA
Vaccinations OPEN CLOSE
Vaccinations (mm/dd/yyyy)
DA2PP or DHPP – Distemper Hepatitis Parainfluenza Parvovirus (DHPP) – 4/6/2016
Rabies 1 Year – 6/8/2023
Rabies 3 Year – 12/10/2024
Canine Distemper – 4/12/2022
Leptospirosis – 8/30/2024
Heartworm – 12/10/2024
Heatstroke – 4/9/2023
Bordetella – 4/9/2023
Lyme Disease – 4/9/2023
Canine Influenza – 4/9/2023
Rattlesnake Vaccine – 9/9/2023
Travel Related Vaccination Notes:
Completed travel-related vaccinations and documentation August of 2024.
Other Vaccination Notes:
Provide this information to the Pet Friend Kennel.
Pet Pharmacy OPEN CLOSE
Pharmacy Name
PetPharm
Land Line
+1 888-555-1212
Fax
+1 972-555-1234
Address:
2600 Ben Franklin Drive
City/State/Zip/Country
Dallas, TX 75080 – USA
Medicines & Supplements OPEN CLOSE
Medication:
Diazepam
Prescription # / Expiration Date
54466766 – 12/2024
Dosage / Frequency
2mg – as needed
Pet Name / Pharmacy Name
Pepper / PetPharm
Notes:
Calm Pepper's anxiety when many people are present, becomes agitated.
Medical Conditions OPEN CLOSE
Medical Condition:
Diarrhea treatment for diabetic dog
Last Treated:
5/8/2024
Taking Medication as Treatment:
Yes
Notes:
Using Purina DM Dietetic for control of diarrhea.
Recent Treatments OPEN CLOSE
Condition Treated:
Fungal infection
Practitioneer / Treatment Date
Richard Durbin, DMV – 7/12/2020
Facility Name
Pet Health Clinic – Ointment
Land Line
+1 888-555-2121
Cell Phone
+1 214-555-5432
Fax
+1 972-555-1222
Address:
6630 Lakeview Plaza, Suite 220
City/State/Zip/Country
Frisco, TX 75093 – USA
Recent Treatment Notes:
Topical antibacterial soaps and shampoos can help. It is often necessary to shampoo pets once to twice a week, while also using any prescribed antibiotic therapy for maximal chances of recovery.
Patient Portal URL:
Portal User Name:
forpets
Portal Password Hint:
dog group
Surgeries & Procedures OPEN CLOSE
Surgery:
Benign skin mass
Surgeon / Surgery Date
David Brown, DVM – 6/7/2024
Facility Name
Pet Health Center – Out-patient
Land Line
+1 888-555-1212
Fax
+1 469-555-6778
Address:
6630 Lakeview Plaza, Suite 220
City/State/Zip/Country
Frisco, TX 75093 – USA
Notes:
Lab work came back negative. Return yearly for checkup.
Allergies OPEN CLOSE
Appointment:
Hearing Hearing device review.
Practitioner
Michelle Davis, DVM
Date / Time
12/28/2024 — 2:45 PM
Facility Name / Treatment Type
Pet Health Center – Examination
Land Line
+1 214 555 4321
Cell Phone
+1 214 555 2121
Fax
+1 469 555 1234
Address:
4360 Highline Drive
City / State / Zip / Country:
Dallas, TX 75201 USA
Appointment Notes:
Hearing loss in both ears. Difficulty for Pepper to follow commands. Speak loudly.
Appointments OPEN CLOSE
Appointment:
Hearing Hearing device review.
Practitioner
Michelle Davis, DVM
Date / Time
12/28/2024 — 2:45 PM
Facility Name / Treatment Type
Pet Health Center – Examination
Land Line
+1 214 555 4321
Cell Phone
+1 214 555 2121
Fax
+1 469 555 1234
Address:
4360 Highline Drive
City / State / Zip / Country:
Dallas, TX 75201 USA
Appointment Notes:
Hearing loss in both ears. Difficulty for Pepper to follow commands. Speak loudly.
Health Insurance OPEN CLOSE
Insurance Company
PetHealth Insurance – Primary Health Plan
Plan Name
Canine Care Plus
Subscriber Number / Group Number
D3746-234 / 3630
Policy Members
Truffle Smart, Pepper Smart
Insurance Card Number / Card Date
349832 – 5/22/2019
Payer ID Number / Effective Date
28932521 – 5/24/2019
COPAY – O Visit / Spec OV / Urg Care / ER
10 / 20 / 50 / 80
RX COPAY – Tier 1 / Tiew 2 / Tier 3
5 / 15 / 60
Consumer Phone
+1 888-555-1212
Provider Phone
+1 800-555-7777
Health Insurance Notes:
$1200 deductible plan for each pet.