Vet AI Scribe for Mixed Animal & Rural Practice

Dogs and cats in the morning, a calving at lunch, a lame horse on the way home. Record on your phone at the clinic, the barn or the chute, and get the right note for each.

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What PawfectNotes Does for Mixed Animal & Rural Practice

Small animal in the clinic
Your usual SOAP note, with the physical exam for your specialty. Regenerate a single note in another specialty, Equine for example, without changing your default.
Nine equine templates
Lameness, colic and emergency, pre-purchase, foal, breeding, castration, dental exam with float, acupuncture and chiropractic, and a general exam.
Food animal on the farm
Herd Health for whole-herd visits, Individual Animal for the sick cow, ewe or doe, and Reproductive Case for calving, kidding and dystocia.
Bill the farm call
Billing Summary – Large Animal lists what was done and dispensed on the visit, ready to check against the invoice before you leave the yard.

Ready-made templates in the PawfectNotes library

SOAP Note
Equine – General Exam
Equine – Lameness Exam
Equine – Colic / Emergency Exam
Food Animal – Herd Health
Food Animal – Individual Animal
Food Animal – Reproductive Case
Billing Summary – Large Animal
Billing Summary – Small Animal

Choose one in Templates before you record, or build your own.

Example Medical Records

Practice types & roles

Mobile Vet Relief Vets Telemedicine Urgent Care Mixed Animal & Rural Practice Referral & Specialty Hospitals High-Volume Spay/Neuter Corporate & Multi-Site Groups Veterinary Technicians & Nurses Veterinary Students & New Grads

Mixed Animal & Rural Practice

Duke

Monday, October 19, 2026 at 1:15 PM

Farm call — laceration, left forearm

Subjective

Chief Complaint

Wound on the left forearm, found at 7:00 AM after a night in the paddock. A section of fence wire was found down.

History

9-year-old Quarter Horse gelding.
Bearing weight on the leg since he was found. Eating hay normally.
Wound hosed with cold water by the owner this morning; no other treatment.
Last tetanus vaccination in spring 2025.
No previous lameness or medical problems.

Objective

Vitals

Weight: 520 kg (weight tape)
Temperature: 100.4°F
Heart rate: 44 bpm
Respiratory rate: 16 breaths/min
Gut sounds: Present in all four quadrants

Wound Exam

12 cm horizontal laceration on the lateral aspect of the left antebrachium, 8 cm proximal to the carpus.
Full-thickness skin wound with a 4 cm proximally based flap. Extensor muscle exposed but not lacerated. No bone exposed.
Wound well clear of the carpal joint and tendon sheaths; no synovial fluid seen.
Moderate contamination with soil and hair; mild swelling around the wound.
Lameness: Grade 1/5 at the walk on the left fore.

Assessment

Contaminated full-thickness laceration, left forearm — suitable for primary closure; no synovial involvement.
Tetanus booster due.

Plan

Procedure

Sedation: Detomidine 5 mg IV (0.01 mg/kg) and butorphanol 5 mg IV (0.01 mg/kg).
Clipped, lavaged with dilute chlorhexidine and debrided.
Local anesthesia: Mepivacaine 2%, 15 mL, infiltrated around the wound.
Closed in two layers: subcutaneous tissue with 2-0 absorbable suture, skin with staples. Penrose drain placed at the ventral edge.
Non-adherent dressing and padded bandage applied.
Tetanus toxoid, 1 dose IM.

Medications Dispensed

Trimethoprim-sulfadiazine 960 mg tablets: 16 tablets PO q12h for 7 days (30 mg/kg).
Phenylbutazone 1 g: PO q12h for 3 days, then once daily for 4 days.

Aftercare

Stall rest with hand-walking for 10 minutes twice a day.
Bandage change and drain removal on Wednesday, October 21.
Staples out in 12–14 days.
Call if the bandage slips, the wound discharges heavily, lameness gets worse, or his temperature is over 101.5°F.

Billing Summary – Large Animal

Farm call fee, zone 2
Examination
Sedation: detomidine 5 mg, butorphanol 5 mg
Local anesthetic: mepivacaine 2%, 15 mL
Laceration repair with debridement, staples and drain
Bandage materials
Tetanus toxoid, 1 dose
Dispensed: trimethoprim-sulfadiazine 960 mg × 224 tablets; phenylbutazone 1 g × 10
Recheck booked for October 21 (not billed today)
Also on this call: rabies vaccination for the farm's two barn cats (separate records)

Client Communication:
Explained that the wound is close to, but not into, the joint and tendon sheaths, which is why it could be closed today. Went through the tablets, the stall rest and what a problem would look like. Owner will repair the fence before Duke goes back out.

— Dr. Will Okafor, DVM

Mixed Animal & Rural Practice FAQ

Do I need a separate account for large animal work?

No. One account covers all of it. Choose the template for the visit before you record, and set a default for the cases you see most.

Can I record on a farm call?

Yes. Record on the PawfectNotes mobile app in the barn or at the chute, then review the note on your phone or back at the computer.

Will withdrawal times be in food animal notes?

When you say the drug, dose, route and withdrawal period during the visit, they are written into the plan. PawfectNotes does not look up or calculate withdrawal times, so check them against the label and your local regulations.