Disease condition	Average # of Cows Treated/Month	Basis for Treatment Decision Please check all applicable boxes.	Treatment Please check all applicable boxes.	Drug Used
Mastitis		□ Rely on findings of abnormal milk □ California Mastitis Test □ Milk culture □ Treat while culture is pending then modify treatment if needed □ Other, specify: ______________	□ Intramammary antibiotic infusion □ Bolus or injectable antibiotic	1st choice: 2nd choice: 1st choice: 2nd choice:
Metritis		□ Twins or difficult calving □ Retained placenta □ Rely on palpation □ Vaginal discharge characteristics □ Take rectal temperature □ Treat all fresh cows □ Other, specify: ______________	□ Intrauterine antibiotic □ Bolus or injectable antibiotic	1st choice: 2nd choice: 1st choice: 2nd choice: