Current info of equine for haulers

Sunday, January 20, 2013

Current information on equine named: _____________________ Breed (approximate): _____________________ Gender: _______

Age (approximate): ______________ Color (approximate): ______________________ Height (approximate): ______________

Markings (approximate):  _____________________________________________________________________________________

Weight (approximate): ____________ Body Score (approximate using Henneke Scale): ___________

*De-Worming (circled the next one due): January - Oxibendazole, March - Pyrantel Pamoate, May - Oxibendazole,

  July – Ivermectin (with Praziquantel), September - Pyrantel Pamoate, November – Ivermectin

*If still in rehab cleanout de-worming schedule (circle the next one due): Oxibendazole, Pyrantel Pamoate,

  Ivermectin (with Praziquantel) Date due: _____________________

Last date farrier was out:  _______________________________________________

Last date Vet has seen equine and what was done:  ____________________________________________________________________________________________________________________________________________________________________________________________________________________

Current Feeding schedule: ____________________________________________________________________________________________________________________________________________________________________________________________________________________

Notes: ____________________________________________________________________________________________________________________________________________________________________________________________________________________

Most recent pictures of equine (if available) and date taken: _________________________________________________________

 

 

 

 

 

 

 

If you have any questions please feel free to call or email anytime.

_____________________________________________________

_____________________________________________________

 

_____________________________________________________       Date:  ________________________

Signature of person releasing equine

_____________________________________________________

Printed name

 

_____________________________________________________       Date:  ________________________

Signature of person receiving and/or transporting equine

_____________________________________________________

Printed name 




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