Sydney Pet Resort
504 Windsor Road
Vineyard NSW 2765

Animal Health Check Form
Animal Identification:
KENNEL CARD PHOTO (Photo must be clear and writing must be readable)
PLACE THE ANIMAL ON THE SCALE: Take a CLEAR photo LOOKING DOWN DIRECTLY ABOVE THE WAIST AREA. Ensure that the photo shows the dog AND the reading on the scale in the one photo.

What is the weight of the animal displayed on the scale in Kg (include decimal point for whole numbers i.e. 10.0Kg):

Assessment of weight:

You have selected ' Underweight ', please provide details:

You have selected ' Overweight ', please provide details:

Behaviour and General Observations:

Check for the following: • Shallow / Irregular Breathing • Stiff Mobility while walking etc. • Lethargic / Not Moving • Heavy Panting • Coughing • Vomiting • Diarrhoea • Matted Coat • Snappy / Irritated • Aggressive • Over Stimulated • Whale Eying (wide open eyes) • Excessive Lip Licking • Unusually Avoidant • Obsessive Barking • Food Aggressive • Overly Dominant • Unsettled / Stressed • Any other obvious issues Please enter a response here for any issues you find:

Sign Off:
Signature of person completing this form

Staff Notes:

IMPORTANT!!! To finish this form you MUST follow these steps or you will lose all the information and have to start this form over again:

1. At the top right of the screen, click the left arrow, then under "AUDIT TITLE" put the animals first and last name AND THE @ SYMBOL AT THE BEGINNING OF ANY ANIMALS NAME WHICH HAS HEALTH ISSUES FOUND IN THIS HEALTH CHECK.

2. Click 'EXPORT'
3. Click 'SEND'

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.