| Observations | Boarding check-in — fed, walked, clean. | — | — |
| Activity | Playful, ate well | — | — |
| Appetite | Good | — | — |
| Urination | Normal | — | — |
| Defecation | Normal | — | — |
| Vomiting | None | — | — |
| IV set | — | — | — |
| Temp (°C) | — | — | — |
| Heart rate | — | — | — |
| Resp. rate | — | — | — |
| Mucous membranes | — | — | — |
| Owner update | — | — | — |
| Other observations | — | — | — |
| Additional meds | — | — | — |
| Vet's endorsements | — | — | — |