<p> DOG INTAKE EXAM</p><p>Date: ______Initials: ______Location: ______Entered in Computer:  Initials: ______8. HEART Scanned for Microchip: + / - _____ normal _____ murmur Chip # ______other: ______Enter the following observations to Intake Exam Notes: IF anything Booking #: abnormal is noted. ______Age: ______1. ATTITUDE Gender: M MN F FS Unable _____ friendly to Sex _____ scared/shy _____ aggressive The following intake procedures are _____ other: ______to be done before a dog enters another area of the shelter. Exceptions 2. WEIGHT include: aggressive dogs or dogs that we ______kgs / lbs have vaccination records for. </p><p>3. COAT & SKIN The following ages are listed for med purposes only. See key for what to enter in computer / _____ normal write on cage card. _____ flea dirt / live fleas _____ hairloss ALL ADULT DOGS ( > 6 _____ scabs months ) _____ other: ______ DA2PP vaccine  Bordetella/parainfluenza IN Vaccine 4. EYES  Frontline Plus topically _____ normal  Pyrantel Pamoate _____ cc (Strongid) _____ other: ______ Enter all info into computer and print kennel card  Write weight on kennel card 5. EARS _____ normal _____ dirty ALL JUVENILE ( < 6 Months ) _____ other: ______ DA2PP vaccine  Bordetella/parainfluenza IN Vaccine 6. NOSE  Frontline Plus topically _____ normal  Pyrantel Pamoate _____ cc (Strongid) _____ other: ______(OK as early as 2 weeks, repeat in 2 weeks)  Marquis paste ___cc (0.1cc per 1 lbs.) (all puppies over 2 weeks) 7. MOUTH, TEETH, GUMS  Parvo Snap test + / - (only if puppy _____ normal looks sick) _____ gingivitis  Enter all info into computer and print _____ tarter build up kennel card  Write weight on kennel card ______other: ______UNABLE TO ADMIT?  Let dog calm down for a couple of hours.  If you can safely leash the animal, move it HAIRLOSS NOTED? to a Pre- Adopt kennel. * Put ‘Not admitted / Staff only’ signs up  Dermatophyte Culture and locks on BOTH of the kennel  Write & highlight FUNGAL on cage card doors.  Put on vet check for fungal check  If the dog is aggressive and is not calming  Skin scrape and put on vet check down, have a staff member *If LIVE fleas found, give Capstar & assist you and put the dog in Droncit quarantine. * Put ‘Not admitted / Staff only’ signs up and locks on BOTH of the kennel doors. </p>