Sample resource / Between visits
Your agreed exercise record
A blank sample record to use only with the individual exercise instructions supplied by your dog’s clinical team.
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Dog’s name:
Your name / date:
The agreed plan
Clinician, date of instructions and review arrangement:
Space for handwritten notes
Exact exercise or activity as given by the team:
Space for handwritten notes
The individual instructions
Amount, frequency and set-up specified by the clinician:
Space for handwritten notes
Any pauses, limits or contact instructions given by the team:
Space for handwritten notes
Session notes
Date and what was completed within the agreed plan:
Space for handwritten notes
Observations you would like to discuss:
Space for handwritten notes
What was manageable?
Which parts of the routine were practical at home?
Space for handwritten notes
Which instructions or arrangements need clarification?
Space for handwritten notes
Review conversation
Questions raised with the team and the date:
Space for handwritten notes
Updated instructions, recorded only after the clinical discussion:
Space for handwritten notes