• Horse Information

  • Billing Information

  • Date Format: MM slash DD slash YYYY
  • Disclaimer:

    It is important to remember that the examination can only give the information about the horse’s health and condition on that day of the exam. While this information is very important, it is unfortunately never a complete picture. Many factors that impact a horse’s health are not necessarily detectable on the day of the exam. The veterinarian cannot predict the horses’ future and no guarantee can be issued.

    Authorization and Payment

    I hereby authorize the veterinarian to examine, prescribe for or treat the above described animal. I assume responsibility for all the charges incurred in the care of this animal. ALL PROFESSINAL FEES ARE DUE AT TIME OF SERVICES ARE RENDERED.

  • Date Format: MM slash DD slash YYYY