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L.I.F.E.'s Veterinarian Investigation Form part 2 of 3


EQUINE COMPLAINT VETERINARIAN REPORT SHEET
DATE OF REPORT INDIVIDUAL ID. NO. REPORT TAKEN BY


DIET: (continued)

Diet is sufficient for this animal's current age and use. YES....NO

If answer is NO, recommended diet is for (check one):

  • GROWING ANIMAL
  • PREGNANT ANIMAL
  • LACTATING ANIMAL
  • BREEDING STALLION OR JACK
  • WORKING ANIMAL
  • NON-WORKING ANIMAL
  • THIN ANIMAL
  • OVERWEIGHT ANIMAL
  • SICK ANIMAL
  • AGED ANIMAL

SPECIFIC RECOMMENDATIONS:

INTERNAL PARASITES:

Does this animal have a regular worming program? YES.....NO.....UNKNOWN

Date of last worming__________19____

Product__________________________

SPECIFIC RECOMMENDATIONS:






INNOCULATIONS:
Type Date
Influenza _____________
Encephalitis _____________
Tetanus _____________
Rhinopneumonitis _____________
Streptococcus Equs _____________

SPECIFIC RECOMMENDATIONS:






FEET:

SPECIFIC RECOMMENDATIONS:







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