Pre-Purchase Exam FormPre-Purchase Exam Form Buyer InformationNameAddressPhone NumberE-Mail Intended Use of Horse Seller InformationNameAddressPhone NumberPast/Current Use of Horse Horse InformationRegistered NameBarn Name AgeColor/MarkingsDuration of OwnershipBreedGenderHeight/WeightTattoo/BrandMedical HistoryRecent Coggins YesNoExplanation History of Colic YesNoExplanation History of Lameness YesNoExplanation Previous x-rays YesNoExplanation History of Neurologic disease YesNoExplanation History of Respiratory disease YesNoExplanation History of Tie up YesNoExplanation History of pregnancy YesNoExplanation Previous Surgery YesNoExplanation Vaccine Reactions YesNoExplanation Medications in previous 2 months YesNoExplanation Vices (cribbing, windsucking, weaving, biting) YesNoExplanation Additional Medical HistoryVaccine/DewormingDiet/SupplementsCurrent work/trainingTrimming/ShoeingAdditional Comments The statements above are true and complete to the best of my knowledge. This horse has not received any medication of any kind in the last three weeks (except as mentioned above). Signature of Seller: Date:Δ download PDF
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