doctorVet Case Study Submission Template

Practice Information

Practice Name *

State *

Veterinarian Name *

Patient Information

Age *

Sex *

Breed *

Injury Date *

Chronicity *

Previous Failure? Explain:

Surgery Performed?

Yes

Pre Tx Notes *

Pre-Tx Image 1

Pre-Tx Image 2

Pre-Tx Video

doctorVet Tx Information

Mid-Tx Image 1

Mid-Tx Image 2

Mid-Tx Video

Primary doctorVet Protocol Used *

Secondary doctorVet Protocol Used (if applicable)

Total # Tx *

#Tx Week 1 *

#Tx Week 2 *

#Tx Week 3 *

Patient Reaction to Therapy *

Mid-Tx Notes

Post doctorVet Tx

doctorVet Therapy Results *

Ease of Use *

Will continue to use doctorVet for similar injuries? *

Post Therapy Notes *

Post-Therapy Image 1

Post-Therapy Image 2

Post-Therapy Image 3

Post-Therapy Image 4

Post-Therapy Video

Thank you for the case!

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