1. FELINE
URI
SCORING
0:
no
nasal
d/c,
sneezing
or
oral
ulceration.
1:
serous
nasal
discharge
and/or
sneezing
and/or
mild
cough
and/or
serous
ocular
discharge
and/or
mild
conjunctivitis
2:
mucopurulent
nasal
d/c
and/or
sneezing
and/or
moderate
cough
and/or
mucoid
ocular
discharge
and/or
chemosis
and/or
oral
ulcers
but
appetite
good.
3:
systemic
disease
(fever,
anorexia,
marked
depression,
dehydration)
and/or
ocular
ulcers
and/or
descemetoceles
CANINE
URI
SCORING
0
–
no
signs
1
–
MILD
-­‐
coughing
or
sneezing
but
still
bright,
happy
and
eating
well,
serous
nasal
discharge
if
any
2
–
MODERATE
_
mucopurulent
or
bloody
nasal
discharge,
QAR
+/-­‐
appetite
decreased
+/-­‐
cough
interfering
with
rest
and
day
to
day
activities
3
–
SEVERE
–systemic
disease,
anorexia,
pyrexia,
depressed

2. Infectious Respiratory Disease Incident Tracking Sheet Feline
Booking number
Location
Name
Clinical Signs @ receiving
Date Received
Gender
AGE
Y
N
M / F
Treatment
Y / N
Recovered
Monitor
<5 MOS
Problem
Req. Initials
Received Status
ADULT
Booking number
Date URI Reported
Rescue Trans. Shelter Trans.
Spayed / Neutered
Other
Y / N
Outcome
Date
Y / N
Adopted Still Sick
FEL
To Foster
Euthanized
Died
RECORD SCORE AT OUTCOME -USE HIGHEST SCORE NOTED ON TX SHEET
URI SCORE
0
1
2
vaccinations current at intake
FIV/Felv Status
Y / N
Pos / Neg
3
Booking number
Location
Name
Clinical Signs @ receiving
Date Received
Gender
AGE
Y
N
M / F
Treatment
Y / N
Monitor
<5 MOS
Problem
Req. Initials
Received Status
ADULT
Booking number
Date URI Reported
Rescue Trans. Shelter Trans.
Spayed / Neutered
Other
Y / N
Outcome
Date
Y / N
FEL
Recovered
Adopted Still Sick
To Foster
Euthanized
Died
RECORD SCORE AT OUTCOME -USE HIGHEST SCORE NOTED ON TX SHEET
URI SCORE
0
1
2
vaccinations current at intake
FIV/Felv Status
Y / N
Pos / Neg
3
Booking number
Location
Name
Clinical Signs @ receiving
Date Received
Gender
AGE
Y
N
Treatment
M / F
Y / N
Monitor
<5 MOS
Problem
Req. Initials
Received Status
ADULT
Y / N
Booking number
Date URI Reported
Rescue Trans. Shelter Trans.
Spayed / Neutered
Other
Y / N
Outcome
Date
FEL
Recovered
Adopted Still Sick
To Foster
RECORD SCORE AT OUTCOME -USE HIGHEST SCORE NOTED ON TX SHEET
URI SCORE
0
1
2
vaccinations current at intake
3
FIV/Felv Status
Y / N
Pos / Neg
Euthanized
Died

3. Infectious Respiratory Disease Incident Tracking Sheet Canine
Booking number
Location
Name
Clinical Signs @ receiving
Date Received
Gender
AGE
Y
N
M / F
Treatment
Y / N
Monitor
<5 MOS
Problem
Booking number
Date URI Reported
Req. Initials
Received Status
ADULT
Spayed / Neutered
Quinte Quebec Woodstock TAS Other
Y / N
Outcome
Date
Y / N
K9
OUTCOME:
Recovered
Adopted Still Sick
To Foster
Euthanized
Died
RECORD SCORE AT OUTCOME -USE HIGHEST SCORE NOTED ON TX SHEET
URI SCORE
0
1
2
vaccinations current at intake
3
Y / N
Booking number
Location
Name
Clinical Signs @ receiving
Date Received
Gender
AGE
Y
N
M / F
Treatment
Y / N
Monitor
<5 MOS
Problem
Booking number
Date URI Reported
Req. Initials
Received Status
ADULT
Spayed / Neutered
Quinte Quebec Woodstock TAS Other
Y / N
Outcome
Date
Y / N
K9
OUTCOME:
Recovered
Adopted Still Sick
To Foster
Euthanized
Died
RECORD SCORE AT OUTCOME -USE HIGHEST SCORE NOTED ON TX SHEET
URI SCORE
0
1
2
vaccinations current at intake
3
Y / N
Booking number
Location
Name
Clinical Signs @ receiving
Date Received
Gender
AGE
Y
N
Treatment
M / F
Y / N
Monitor
<5 MOS
Problem
Booking number
Date URI Reported
Req. Initials
Received Status
ADULT
Y / N
Spayed / Neutered
Quinte Quebec Woodstock TAS Other
Y / N
Outcome
Date
K9
OUTCOME:
Recovered
Adopted Still Sick
RECORD SCORE AT OUTCOME -USE HIGHEST SCORE NOTED ON TX SHEET
URI SCORE
0
1
2
vaccinations current at intake
3
Y / N
To Foster
Euthanized
Died

4. RESPIRATORY
DISEASE
HAND
COUNT
(FELINE)
Room
#
of
Non-­‐URI
Adults
Behaviour
(
B
Hall
)
Rainbow
Room
Sara's
Office
Call
Centre
Kitty
Condo
1
Kitty
Condo
2
Kitten
adoption
(
room
U
)
Kitty
City
Adoption
Office
Prep
Room
Room
S
Room
R
Room
Q
Room
P
Room
O
Room
N
Iso
1
Iso
2
Iso
3
Communal
Room
Intake
MC
Cat
Ward
#
of
Non-­‐URI
Juveniles
#
of
URI
ADULTS
(<
5
MOS)
Date:
#
of
URI
JUVENILES
Initials
of
Recorder

5. RESPIRATORY
DISEASE
HAND
COUNT
(CANINE)
Room
A1
A2
B
C
D1
D2
F
South
Clinic
Back
Hall
Wildlife
MC
Dog
Ward
H
I
#
of
Non-­‐URI
Adults
#
of
Non-­‐URI
Juveniles
#
of
URI
ADULTS
(<
5
MOS)
Date:
#
of
URI
JUVENILES
Initials
of
Recorder