Please note breed recognized color and significant markings, such as star, white pastern, etc. Please note any brands.
Please note if at home or boarding facility.
Please note forage (grass, alfalfa or both), concentrates and or green grass pasture.
Stall, stall with paddock, paddock only, dry lot, or pasture or mix of which?
Please note here any comments or concerns you would like to state or have addressed before, at or following the examination.
I, the undersigned, certify that I am the owner, or duly authorized agent of the owner, of listed above equine. To the best of my knowledge, the answers to the above questions are true and correct. Rogue Equine Hospital has my permission to share the information placed on this form with the prospective Buyer/Agent named above. In addition, I hereby grant my consent to allow the examination procedures to be performed by Rogue Equine Hospital for the purpose of determining the health status of the equine listed above for sale.