Your Details

Name

e-mail address

Postal address

Horse Details

Name:

Breed:

Age:

Purpose for which horse is being used:

Sex:

Male Female

Castrated Entire

Diet:

Symptoms and Treatments of your horse

Respiratory Assessment

Nasal Discharges

eg: Colour e.g. Green, yellow, clear Frequency and amount of discharge. Presence of blood?

Breathing:

eg: Normal, laboured, wheeziness ? Presence of coughing ?
Is cough dry or productive ?

Digestive System Assessment

Appetite

Normal, increased, decreased Abnormal habits
e.g. eating its own droppings?

Droppings

Colour e.g. green/brown Consistency
e.g. compact/flat/loose/dry/wet Dull/shiny ?
Presence of undigested food ?

Urinary System Assessment

Urine

colour: yellow clear cloudy

eg: Frequency of urination, does the stall be wet ? How does horse stand at rest, normal , standing over or standing back when horse turning at the walk observing the flanks especially is it rigid, straight or does it bend easily

Locomotor Assessment

Gait

Normal Lameness

Any abnormal swellings or hot areas?

General Assessment

Ears

Hot Cold

Nose

Hot Cold

Breath

Normal Sour Putrid Sweet

Eyes

Clear Discharge
Nature of discharge if present

Is horse easily blinded ? Yes No

Hooves

Quality of horn: cracks ridges

Condition of Coat

Oily Shiny Dry Dull

Skin condition

normal dry flaky rash

Behaviour

Brave Timid Easily frightened
Easily managed Temperamental Headstrong
Other

If you have any further comments on your horse please enter them here and we will try to reply to your enquiry as soon as possible