This is the page where you can find out what information we will need for each horse that is being seen by the vets
of Amerty Equine. Because all of the records are in the process of being posted online, we do need as much information on
your horse as possible.
FIRST TIME CLIENTS
Please submit the following information for ALL horses to be seen by Amerty Equine Vet & Farrier
Services. This information is the SAME as the information required for the General 6 month checkup.
Your Name: (ONCE)
Email: (a way to contact you should we have questions.)
Your farm name: (Please list farm name
even if you are a boarder.)
Your horses name, age, gender and breed.
If your horse has had any injuries or problems,
PLEASE list that too.
Tell me about your horses temperament and something about him/her. Help me to get to know your horse!
(List here any quipps that may assist me in seeing your horses. EX: Horse A likes to nip fingers. Horse B will kick. Horse
C is a gentle boy..
For GENERAL 6 MONTH CHECKUPS we need the following information for each horse.
Your Name: (ONCE)
Email: (a way to contact you should we have questions.)
Your farm name: (Please list farm name
even if you are a boarder.)
Your horses name, age, gender and breed.
If your horse has had any injuries or problems,
PLEASE list that too.
For the MONTHLY CHECKUPS (Usually repeat customers use this. It is a great idea if your horses
are heavilly shown. This is ALSO the same information needed for the General 6 month Checkup.)
Your Name: (ONCE)
Email:
(a way to contact you should we have questions.)
Your farm name: (Please list farm name even if you are a boarder.)
Your
horses name, age, gender and breed.
If your horse has had any injuries or problems, PLEASE list that too.
For the following exams we are requesting specific information. Please do your best in providing this to us. It will
be to yor benefit to provide as much as you know about the horse.
Breeding Soundness exams, You can click here to see what information we'll need from you about the mare AND stallion. It will take you to a separate page with the required
information.
Pre-Purchase Exams: This exam comes highly recommended when purchasing an unknown horse. If you should choose to have us
do a pre-purchase exam, PLEASE submit the following information.
Your name (buyer):
Horses current owner: (seller):
YOUR email: (a way to contact you.)
Horses Name:
Age of
horse:
Gender:
Color:
Breed:
Horses current Vet:
Last Appointment date with his/her vet:
Any KNOWN INJURIES
OR ILLNESSES?:
If you should need to have a LAMENESS EXAM completed on one of your horses, please provide us with as much information
as you can. The more information that you can provide us, will be helpful in writing up our findings in a comprehensive report.
Your name:
Email: (We need a way to contact you.)
Barn: (Please list a barn even if you're a boarder!)
Horses
Name:
Horses Current Veterinarian:
Age of horse:
Gender:
Color:
Breed:
What happened to the horse to make you think he/she is now lame?
Have you noticed any past or present difficulties with the horse? IF yes, please describe.
Tell me about the horses exercise program? What kinds of things do you do for the horses exercise? Is the horse shown heavily?
Has the horse had problems with lameness in the past?:
Have you noticed any signs of lameness currently?:
Does the
horse have any injuries past or present?: If yes, please give the details of the injuries.
