Pre-Purchase Examination Form

Payment Terms: Pre-Purchase Examinations cannot be scheduled until Mulligan Mobile Veterinary Services has your credit card information and authorization.

Please call our office with that information at 250 371-1658

First Name

Last Name

Address

City

Province

Postal Code

Phone Number

How long have you owned this horse?

What has the horse been used for in the past?

Will you be present for the exam?

Please provide a cell number if unable to attend the exam. You WILL be notified of any procedures considered necessary by the veterinarian (nerve blocks, x-rays, sedation)

Please describe any medical history as noted above

Is the horse currently on any medications

Do you give permission to release the veterinary history to the buyer?

Please provide the clinic name if you answered "YES" to the above

How suitable is the horse for the proposed use

Most recent Deworming date and product used

Most recent Dental date

Most recent Vaccine date and product(s) used

Most recent trimmed or shod date

Is the horse currently insured?

Will the horse be exercised the day of the exam?

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