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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*
None
Low
Medium
High
Is the wound dry or is there any exudate coming from it? If exudate is present, is it clear?*
Current photo of wound*
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Notes
Any other notes or details?
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