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Equine Check-In

*Required Fields

*Owner's Name
*Address
*City, State, Zip Code
*Phone
Alternative Phone
Horse's Info:
*Name
*Age
Mare, Gelding or Stallion
*Breed
First, tell us briefly what is going on with your horse:
We have a few questions about coronavirus risk as this impacts precautions we take while handling patients.
  1. *Has anyone in your household had flu-like symptoms, been exposed to coronavirus, been under quarantine for coronavirus, or been diagnosed with coronavirus during the past two weeks? IF THE ANSWER TO THIS QUESTION IS YES - DO NOT CONTINUE WITH THE FORM. INSTEAD, CALL US AT (864) 972-9994 FOR ADVICE ON HOW TO PROCEED. DO NOT ARRIVE FOR YOUR APPOINTMENT WITHOUT SPEAKING TO US FIRST.
General Questions:
When was your horse last dewormed and with what product?
When did your horse last receive each of the following vaccines/tests/treatments:
Coggins Test
Rabies Vaccine
EWT
Flu/Rhino
West Nile Virus
Strangles
Dentistry
Was dentistry done by a veterinarian?
What feed does your horse eat and how much?
Any supplements?
What type of hay/pasture and how much per day?
Has your horse had any medical concerns in the past / any history of illness besides conditions we have treated him/her for? If so, please explain:
Do you or anyone else ride your horse?
If so, where? (on-site only, trail rides, shows, training events)
What discipline? (example barrel racing)
Does your horse live at your house, at a boarding facility, or off-site on the property you own/rent?
If your horse does not live at your mailing address, please list here the address of where the horse stays:
How long have you owned your horse?
Is this horse trained to allow basic veterinary handling? (ie picking up feet, haltering, leading, accepting injections).
*Primary Concern Today
Duration of symptoms
Getting better/worse?
*How is the horse feeling?
Appetite
For how long?
Drinking/Urination
For how long?
Any diarrhea?
Specify how many time/how many days
Any coughing or nasal discharge in the past two weeks?
Any lameness/soreness?
Has your horse had a similar problem in the past?
Is there anything else we need to know/any questions that you have?