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Prepurchase Release Form
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Buyer Name:
First Name:
Last Name:
Seller Name
:
First Name:
Last Name:
Buyer Address:
Seller Address:
Buyer Phone
:
Seller Phone:
Buyer Email:
Buyer Trainer/Agent:
Seller Trainer/Agent:
Horse Name
:
Breed:
Age:
Sex:
Intended Use:
Previous Medical Abnormalities:
None Treated
Unknown
Previous Surgical Conditions:
None Treated
Unknown
Describe Medical Abnormalities:
Describe Surgical Condition:
Previous Lameness:
None Treated
Unknown
Current Medication(s):
None
Unknown
Describe Lameness:
Describe Medication(s):
It is important to make a smooth transition for you and your horse to its new environement. Therefore, it is imperative that you obtain as much information as possible to aid in this process. Items such as vaccination status, deworming history, feeding management, special shoeing concerns, present housing and excercise level will be important for this transition. We may cover some of these areas during the course of this examination, but it is your responsibility to obtain this information from the seller, their agent and other sources.
I understand that this examination is to evaluate the medical health and condition of this horse presented at this time, under today's conditions. I realize that the findings of this exam are one aspect of the purchase decision and presented to assist me in making an informed decision. I am aware that the findings at this examination are not a warranty, express, implied or otherwise of future health, freedom from lameness/injury or suitability.
Release
BUYER RELEASES REDMOND VETERINARY CLINIC AND ITS OWNERS, AGENTS, EMPLOYEES AND REPRESENTATIVES FROM ALL LIABILITY TO BUYER AND BUYER'S AGENTS, EMPLOYEES, REPRESENTATIVES, SUCCESSORS AND ASSIGNS FOR ALL LIABILITY, CLAIMS, DAMAGES OR DEMANDS ARISING FROM OR RELATED TO THE PREPURCHASE EXAMINATION OF BUYER'S HORSE.
Accept
Decline
Redmond Veterinary Clinic 1785 N. Hwy 97 Redmond, OR 97756 (541) 548-1048 Fax (541)548-2323
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