QUESTION FOR THE ISSUING VETERINARY CLINIC
Blank starter — complete and review before sending. Nothing is sent by this file.

Puppy name and clinic patient ID:
Other identifying information requested by the clinic:
Document title and visit date:
Page and line that need clarification:

Hello,
Could you clarify the following detail in this puppy's document?

[Explain exactly what is unreadable, missing or inconsistent.]

Could you provide a legible copy or written clarification? If an entry is advice
for future care, please confirm that separately from care already given.

Thank you,
[Your name and preferred contact details]

FOR YOUR PRIVATE RECORDS
Date asked:
Clinic staff member who replied:
Reply date and exact clarification:
Where the reply/corrected copy is filed:
Related record corrected and date:

Keep the original document. This starter does not replace veterinary advice,
amend a clinic record or create a care schedule.