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Content of Practice Records (Record of treatment of animals)

Regulation 24.

1) A veterinarian must, for each animal treated by the veterinarian, keep a record including:

(a) the animal’s identifying details; and

(b) the following information for each consultation about the animal

i) details of any condition or injury of the animal;ii) any provisional or definitive diagnosis;iii) full details, including the date, of any examination, procedure or test performed;iv) full details of any treatment given, including details of any drugs administered or dispensed;v) results of any treatment given;vi) details of any instructions given when the animal is discharged.

2) The veterinarian must keep the record for three (3) years from the day the last information about the animal is included in the record.

As an extension of the Regulation the Board has nominated the components of model clinical records as: