Buyer Disclosure Form

This completed form is required by law in order for us to provide service. This information is kept secure, private and will not be shared with any 3rd party without your expressed consent.

  • Please list basics, with notes on markings if you know them. For example, Bay with star, right front pastern white. Please note brands if present.
  • DD slash MM slash YYYY
  • Please note or list all intended uses of the horse standing for the purchase exam, in order of importance.
  • Please note special circumstances, requests, concerns or any issue you wish to convey regarding the horse, the exam or circumstances. Please type "NONE" if you have no comment or concerns.
    Please tick the box for each item of interest. This is NOT a commitment or contract for services, but an indication for us to discuss those items with you in more detail.
    Please tick the box for each area of interest for imaging. This is NOT a commitment or contract for services, but an indication for us to discuss in more detail. Cost is up to 60.00 per image plus 57.00 PACS/Archiving Fee and 50.00 sedation fee. Ultrasonography is approximately 280.00 per site plus 50.00 sedation fee.
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    This form must be completed and signed by the person ordering the purchase examination and who is financially responsible for this service.
  • This field is for validation purposes and should be left unchanged.