woundcare test

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Practice Details

Practice Name*

Practice Postcode*

Main contact name for case*

Email*

Telephone*

Patient Details

Patient Name*

Patient Details - Species, breed & age*

Is the patient hospitalised?*Yes
No

Is the patient's movement being restricted?*Yes
No

Does the patient have any underlying health conditions?*Yes
No

Wound Details

Area of injury/wound*

Approximate wound size*

Initial injury date*

Origin of wound*

Exudate Level*

Is the wound dry or is there any exudate coming from it? If exudate is present, is it clear?*

Current photo of wound*

Notes

Any other notes or details?

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