ÿþ<HTML> <HEAD> <TITLE>Medstick Data Page petmedstick</TITLE> <META http-equiv=Content-Type content="text/html; = charset=iso-8859-1"> <META=20 content="E-Medstick, for all medical emergencies almost anywhere in the world> <META NAME="keywords" CONTENT="electronic medical record, electronic helth record, personal medical record, personal health record, emergency, health, medical, ET, ER, emergency room, travel, safe, secure, clinic, hospital, patient, healthcare provider, healthcare, information system, HIS, wellness, x-rays, scans, mri, Medistick, EMR, PMR, portable pmr, portable EMR, Paramedic, Ambulance, emergency room, emergency technician, emergency, Medical, air ambulance, OR, health care, health, provider, health careprovider, integrated health care system, Healthcare information system, medical flash drive, utag, medrecord card, medical flash drives, usb flash drives, Medic Alert, Medicare, medicate, medical bracelet, medcard, medtag, e-medstick body, spirit"/ > <META content=English name=Language> <META content="Medstick Corporation" name=Author> <META content="Medstick Corporation 2007" name=copyright> <META content="Index, Follow" name=Robots> <META content=Informational name=Document-classification> <META content=General name=Document-rating> <META content=Global name=Document-distribution> <! Title: PetMedstick Page Designer/Programmer: Larry Smith Creation Date: 8-2-2009 Last Revision Date: 8-4-2009 Copyright 2008-2009 by Larry Smith Medstick Corporation, All Rights Reserved > </HEAD> <body background="images/"><p></p> <left><table width=100% border=1><tr> <td width=100%><left><table background="images/" border="0" bordercolor="#000000" width="100%"><tr> <td width="100%"> <left><table width=100% cellpadding=10 cellspacing=0 border=0 colspan=0><tr> <td width=100%><b><left><img src="images/LS-1 EMRpetSticklogo7.jpg" width=240 height=25></br> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <img src="images/usa-flag.jpg" width=100 height=50 border=1> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<br>&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<font size=2></td></tr></table> <left>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<b><font color="Darkblue"><font size=+2> <b>EMRPetSTICK<BR> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<FONT SIZE=+1>(Medical data for your pet)<br><font color="#000000"> <font style="font-size: 8pt; font-family: Verdana;" face="Verdana" size="2"><left><font size="1"><b> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;If found please return to: </b> MedStick Corp ,<br> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;3619 E. Verdin Rd. Phoenix, AZ 85044 USA<br><br></td> <td width=20%><p align=right><a href="petmed-chum.htm"> <img src="images/usa-flag.jpg" width=50 height=20 border=1></a><br><center><font size=1>English</a><br> <br><br><br><br><br><br><br><br><br><br><br><br></td> <td width=20%><p align=right><a href="Medstick Data Page Swedish.htm"> <img src="images/swedenlg.gif" width=50 height=20 border=1></a><br> <center><font size=1><font face="Verdana">Sweden<br><br><br><br><br><br><br><br><br><br><br><br<br><br><br></td> <td width=20%><p align=right><a href="petmed-chum-dutch.htm"> <img src="images/netherland-flag.gif" width=50 height=20 border=1></a><br> <center><font size=1>Dutch<br><br><br><br><br><br><br><br><br><br><br><br><br></td> <td width=20%><p align=right><a href="petmed-chum-italian.htm"> <img src="images/italy-flag.gif" width=50 height=20 border=1></a><br> <center><font size=1>Italian<br><br><br><br><br><br><br><br><br><br><br><br><br></td> <td width=20%><p align=right><a href="petmed-chum-spanish.htm"> <img src="images/spain-flag.gif" width=50 height=20 border=1></a><br> <center><font size=1>Spanish<br><br><br><br><br><br><br><br><br><br><br><br><br></td> <td width=20%><p align=right><a href="petmed-chum-france.htm"> <img src="images/france-flag.gif" width=50 height=20 border=1></a><br> <center><font size=1>French<br><br><br><br><br><br><br><br><br><br><br><br><br></td> <td width=20%><p align=right><a href="petmed-chum-german.htm"> <img src="images/germany-flag.gif" width=50 height=20 border=1></a><br> <center><font size=1>German<br><br><br><br><br><br><br><br><br><br><br><br><br></td> <td width=20%><p align=right><a href="petmed-chum-japan.htm"> <img src="images/japanflag.jpg" width=50 height=20 border=1></a><br> <center><font size=1>Japan<br><br><br><br><br><br><br><br><br><br><br><br><br></td> <td width=20%><p align=right><a href="petmed-chum-chinese.htm"> <img src="images/chineseflg.jpg" width=50 height=20 border=1></a><br><center> <font size=1><font face="Verdana">ñ‚í‹ (China)</font><br><br><br><br><br><br><br><br><br><br><br><br></p></td> </tr></table> <table colspan="2" background="" border="1" cellpadding="10" cellspacing="0" width="100%"><tr> <td width="85%"><left><font style="font-size: 10pt; font-family: Verdana;" face="Trebuchet MS" size="2"> <font face="Verdana"><font color="darkblue"><b> <b><font size="+2"><i>Background Information</i>&nbsp;&nbsp;<font style="font-size: 10pt; font-family: Verdana;" face="Trebuchet MS" size="2"> <font color="#000000">Latest Update: (August 12, 2009) <br> <HR width="100%" SIZE=2></HR><LEFT><B> <FONT style="FONT-SIZE: 12pt; FONT-FAMILY: Verdana" face=Verdana=size=+3><b> <FONT color="darkblue"><font face="Verdana"><b><font size=+2><b>CHUM - <font size="4">ENGLISH SETTER<br> OWNERS: Elvire & Larry Smith<br><b> <font color="black"><FONT style "FONT-SIZE: 10pt; FONT-FAMILY: Verdana" face="Verdana" size=2><b> Address: 3619 E Verdin Rd., Phoenix, Arizona, 85044 USA <br> Home Phone: 480 899-4463 USA<br> Breed: Pure Bred - English Setter <br> Birth Date: August 20, 2001 Pasadena, California USA<br> Age: 8 <br> Weight: - 72 lbs<br> Species: Dog<br> Sex: Male <br> Spayed No<br> Neutered: No<br> Color: White with black spots, long fur<br> Microchipped: No<br> Weight: - 72 lbs<br> Blood Type: na <br> </B><font color="#000000"> <TD width="15%"> <CENTER><FONT style= "FONT-SIZE: 10pt; FONT-FAMILY: Verdana" face=Verdana size=+2> <IMG height=200 src="images/englishsetter-1.jpg" width=205 border=1><BR><br><font size=3><b> Chum<br>English Setter <br>PetMedStick </FONT></CENTER></TD></TR></TABLE> <TABLE style="BORDER-COLLAPSE: collapse" cellSpacing=0 cellPadding=0 width="100%" border=1><TR> <TD width="100%" colSpan=4><B><font face="Verdana" size=+1> <font color="darkblue"><B>Current Health Concerns</FONT></B></TD></TR> <TR> <TD width="10%"><I><FONT face=Verdana size=2><center><b>Date</FONT></I></TD> <TD width="25%"><I><FONT face=Verdana size=2><center><b>Concern</FONT></I></TD> <TD width="10%"><I><FONT face=Verdana size=2><center><b>Date</FONT></I></TD> <TD width="25%"><I><FONT face=Verdana size=2><center><b>Concern</FONT></I></TD></TR> <TR> <TD width="10%"><FONT face=Verdana size=2><center><b>&nbsp;None </FONT></TD> <TD width="25%"><FONT face=Verdana size=2><center><B>&nbsp;in good health</FONT></B></TD> <TD width="10%"><FONT face=Verdana size=2><b>&nbsp;</FONT></TD> <TD width="25%"><FONT face=Verdana size=2><B>&nbsp;</FONT></B></TD></TR> <TR> <TD width="10%"><FONT face=Verdana size=2><b>&nbsp;</FONT></TD> <TD width="25%"><FONT face=Verdana size=2><B>&nbsp;</FONT></B></TD> <TD width="10%"><FONT face=Verdana size=2><b>&nbsp;</FONT></TD> <TD width="25%"><FONT face=Verdana size=2><B>&nbsp;</FONT></B></TD></TR></TABLE> <TABLE style="BORDER-COLLAPSE: collapse" height=105 cellSpacing=0 cellPadding=0 width="100%" border=1> <TR> <TD width="100%" colSpan=6 height=0>&nbsp;<B><FONT face="Trebuchet MS" FONT face=Verdana color="#000000" size=4> <font face="Verdana" size=+1><font color="darkblue">Current Medications </FONT></B></TD></TR> <TR> <TD width="10%"><FONT face=Verdana size=3><b><center>&nbsp;<I>Medication</I></FONT></TD> <TD width="25%"><FONT face=Verdana size=3><b><center><I>&nbsp;Dose & Frequency</I></FONT></TD> <TD width="10%"><FONT face=Verdana size=3><b><center><i>&nbsp;Medication</FONT></I></TD> <TD width="25%"><FONT face=Verdana size=3><b><center><I>&nbsp;Dose & Frequency</I></FONT></TD> </tr> <TR> <TD width="10%"><FONT face=Verdana size=2><center><b>&nbsp;None</FONT></TD> <TD width="25%"><FONT face=Verdana size=2><B>&nbsp;</FONT></B></TD> <TD width="10%"><FONT face=Verdana size=2><b>&nbsp;</FONT></TD> <TD width="25%"><FONT face=Verdana size=2><B>&nbsp;</FONT></B></TD></TR> <TR> <TD width="10%"><FONT face=Verdana size=2><b>&nbsp;</FONT></TD> <TD width="25%"><FONT face=Verdana size=2><B>&nbsp;</FONT></B></TD> <TD width="10%"><FONT face=Verdana size=2><b>&nbsp;</FONT></TD> <TD width="25%"><FONT face=Verdana size=2><B>&nbsp;</FONT></B></TD></TR></TABLE> <TABLE style="BORDER-COLLAPSE: collapse" cellSpacing=0 cellPadding=0 width="100%" border=1><TR> <TD width="100%">&nbsp;</FONT><B><font color="darkblue"><font face="Verdana" size=+1> Allergies to Medicine</FONT></B></TD></TR> <TR> <TD width="100%"><FONT face=Verdana size=2><b><I>None</I></FONT></td></tr> <TD width="100%"><FONT face=Verdana size=2>&nbsp;<b><I></I></FONT></TD></TR> <TR> <TD width="100%"><FONT face=Verdana size=2><b><I></I></FONT></td></tr> <TD width="100%"><FONT face=Verdana size=2>&nbsp;<b><I></I></FONT></TD></TR></TABLE> <TABLE style="BORDER-COLLAPSE: collapse" cellSpacing=0 cellPadding=0 width="100%" border=1><TR> <TD width="100%" colspan=4>&nbsp;</FONT><font color="darkblue"><B> <FONT face="Trebuchet MS" "Verdana" size=4><font face="Verdana" size=+1> <b>Past Medical History<font size=3> (Date of last procedure)</td></tr> <TR> <TD width="15%"><I><FONT face=Verdana size=3><center>&nbsp;<b>Date</FONT></I></TD> <TD width="25%"><I><FONT face=Verdana size=3><center>&nbsp;<b>Procedure</FONT></I></TD> <TD width="15%"><I><FONT face=Verdana size=3><center>&nbsp;<b>Date</FONT></I></TD> <TD width="25%"><I><FONT face=Verdana size=3><center>&nbsp;<b>Procedure</FONT></I></TD></TR> <TR> <TD width="15%"><FONT face=Verdana size=2><center><b>May 2005</FONT></TD> <TD width="29%"><FONT face=Verdana size=2><center><B>DHPP (Distemper/Hepatitis/Parainfluenza/Parvo)</FONT></B></TD> <TD width="15%"><FONT face=Verdana size=2><center><b>April 2006</FONT></TD> <TD width="29%"><FONT face=Verdana size=2><center><B>Rabies</FONT></B></TD></TR> <TR> <TD width="15%"><FONT face=Verdana size=2><center>&nbsp;<b>July 2008</FONT></TD> <TD width="29%"><FONT face=Verdana size=2><center>&nbsp;<b>Bordetella (Kennel Cough Vaccine) </FONT></B></TD> <TD width="15%"><FONT face=Verdana size=2><center>&nbsp;<b>July 2008</FONT></TD> <TD width="29%"><FONT face=Verdana size=2><center>&nbsp;<b>Heartworm Test</FONT></B></TD></TR> <TR> <TD width="15%"><FONT face=Verdana size=2><center>&nbsp;<b>August 2008</FONT></TD> <TD width="29%"><FONT face=Verdana size=2><center>&nbsp;<b>Fecal</FONT></B></TD> <TD width="15%"><FONT face=Verdana size=2><center>&nbsp;<b>April 2009</FONT></TD> <TD width="29%"><FONT face=Verdana size=2><center>&nbsp;<b>Rattlesnake Vaccine</FONT></B></TD></TR> <TR> <TD width="15%"><FONT face=Verdana size=2><center>&nbsp;<b></FONT></TD> <TD width="29%"><FONT face=Verdana size=2><center>&nbsp;<b> </FONT></B></TD> <TD width="15%"><FONT face=Verdana size=2><center>&nbsp;<b></FONT></TD> <TD width="29%"><FONT face=Verdana size=2><center>&nbsp;<b></FONT></B></TD></TR> </TABLE> <TABLE style="BORDER-COLLAPSE: collapse" cellSpacing=0 cellPadding=0 width="100%" border=1><TR> <TD width="100%" colSpan=2><FONT color=#0033cc>&nbsp;</FONT><B> <font face="Verdana" size=+1><font color="darkblue">Personal VET</FONT></B></TD></TR> <TR> <TD width="60%"><I><FONT face=Verdana size=3><center><b>&nbsp;Name</FONT></I></TD> <TD width="40%"><I><FONT face=Verdana size=3><center><b>&nbsp;Office Telephone</FONT></I></TD> </TR> <TR> <TD width="60%"><FONT face=Verdana size=2><center><b>&nbsp;Dr. Eva Beyer DVM, MS South Mountain Vet, Ahwatukee Arizona &nbsp;&nbsp; </FONT></TD> <TD width="40%"><FONT face=Verdana size=2><b><center> 480 759-4800, 480 639-2718 USA</FONT></TD></TR> <TR> <TD width="60%"><FONT face=Verdana size=2><b>&nbsp;</FONT></TD> <TD width="40%"><FONT face=Verdana size=2><b><center> </FONT></TD></TR> <TR> <TD width="60%"><FONT face=Verdana size=2><b>&nbsp;</FONT></TD> <TD width="40%"><FONT face=Verdana size=2><b>&nbsp;</FONT></TD></tr></TABLE> <TABLE style="BORDER-COLLAPSE: collapse" cellSpacing=0 cellPadding=0 width="100%" border=1><TR> <TD width="100%" colSpan=3>&nbsp;</FONT><B> <font face="Verdana" size=+1><font color="darkblue">Emergency Contacts</FONT></B></TD></TR> <TR> <TD width="35%"><I><FONT face=Verdana size=3><center><b>&nbsp;Name/Relation</FONT></I></TD> <TD width="40%"><I><FONT face=Verdana size=3><center><b>&nbsp;Phone</FONT></I></TD> <TD width="25%"><I><FONT face=Verdana size=3><center><b>&nbsp;Other Phone/Email</FONT></I></TD></TR> <TR> <TD width="35%"><FONT face=Verdana size=2><center>&nbsp;<b>Elvire & Larry Smith - Owners&nbsp;</FONT></TD> <TD width="40%"><FONT face=Verdana size=2><center>&nbsp;<b>480 899-4474, 480 899-4463, 480 789-0546</FONT></TD> <TD width="25%"><P align=left><FONT face=Verdana size=2><center>&nbsp;<b>bizplus@iglide.net<br>larry@larrysmithconsulting.com</FONT></P></TD></TR> <TR> <TD width="35%"><FONT face=Verdana size=2><b>&nbsp;Dr. Eva Beyer DVM, MS South Mountain Vet, 3636 E Ray Rd., #20 Phoenix AZ 85044 USA</FONT></TD> <TD width="40%"><FONT face=Verdana size=2><center><b>&nbsp;480 759-4800, 480 639-2718 USA www.smountainvet.com</FONT></TD> <TD width="25%"><P align=left><FONT face=Verdana size=2><center><b>Fax: 480 759-3229<b>&nbsp;</FONT></P></TD></TR> <TR> <TD width="35%"><FONT face=Verdana size=2><b>&nbsp;</FONT></TD> <TD width="40%"><FONT face=Verdana Size=2><b>&nbsp;</FONT></TD> <TD width="25%"><P align=left><FONT face=Verdana size=2>&nbsp;<b></FONT></P></TD></TR> <TR> <TD width="35%"><FONT face=Verdana size=2><b>&nbsp;</TD> <TD width="40%"><FONT face=Verdana size=2>&nbsp;<B> </FONT></B></TD> <TD width="25%"><P align=left><FONT face=Verdana size=2>&nbsp;<b></FONT></P></TD></TR></TABLE> <BR> <CENTER><FONT size=3><B>For more information CALL: 480 899 4463 or email us at larry@e-medstick.com <br> <font size=2><B>Sponsored By: Medstick Corporation, www.emrstick.com / Copyright 2007 Medstick Corporation - Patents Pending, Trademark Pending<br> <a href="images/disclaimer-2.doc">Disclaimer</a></FONT></CENTER></CENTER><br></CE= NTER></FONT></FONT></CENTER></FONT></CENTER></B></TR></TBODY></TABLE></CE= NTER></TR></TBODY></TABLE></CENTER></BODY></HTML>