Home
About Us
Health Care
Forms
Animal Alerts
Links
Classifieds
Contact Us
Prepurchase Exam Request Form
Search:
Contact Name:
First Name:
Last Name:
Mailing Address:
Home Phone:
Cell Phone:
Email:
Horse Name:
Sex:
Stallion
Gelding
Mare
Spayed
Age:
Breed
Please Check The Desired Options:
Clinical examination only
Radiographs - Areas to be determined with examining Veterinarian
Laboratory Bloodwork
Drugs/Medication Screen
Ultrasound - Areas to be determined with examining Veterinarian
Endoscopy - Upper airway video examination
Gastroscopy - Stomache video exam (requires horse off feed at least 24 hours)
Reproductive exam - Extent to be determined with examining Veterinarian
Other?:
Authorization
Accept
Decline
IF THE BUYER IS NOT GOING TO ATTEND PREPURCHASE EXAM WE MUST HAVE A CREDIT CARD NUMBER ON FILE TO PROCESS THE PAYMENT AT END OF EXAMINATION.
PLEASE CALL YOUR CREDIT CARD INTO OUR CLINIC. 541-548-1048
Redmond Veterinary Clinic 1785 N. Hwy 97 Redmond, OR 97756 (541) 548-1048 Fax (541)548-2323
e-mail us
|
site map
|
Employees Only
Content Management System provided by