Download printable Veterinary Evaluation Form here.
Adopter’s Information:
Name:
Address:
Home Phone:
Work phone:
E-mail address:
Equine’s Information:
BEHS- Name:
Age:
Breed:
Color:
Markings:
Weight:
Height:
Sex:
Please answer the following questions in detail:
Does this equine have any lameness issues? Yes/No
If yes, please explain:
Does this equine have any health problems?
If yes, please explain:
If this equine is female, is she in foal?
If yes, please explain:
Are the equine’s needs being adequately met?
If yes, please explain:
Describe overall condition if the equine:
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Veterinarian Signature
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Date