Purchase Examination Form

We are pleased that you have chosen Unionville Equine Associates, PC to perform your purchase exam. This form will explain the services included in the exam and describe additional services available to you.

Additional procedures that can be performed include radiography, hematology, blood chemistry, drug screening, fecal test, breeding soundness exam and an endoscopic exam. There are many factors that should be considered as to whether these procedures would benefit your pre-purchase exam. The veterinarian performing the exam will contact the potential buyer to review the options available as well as to address any questions prior to the exam. After the exam the veterinarian will contact the potential buyer to review his or her findings. A written copy will also be provided.

The pre-purchase exam is intended to provide the buyer with an opinion of the condition of the horse prior to the purchase. This opinion is based on what is found on the day of examination and is not meant to be predictive for future soundness and suitability for various disciplines. This form must be completed and submitted to our office prior to the exam date. Payment is required at the time of service by credit card and is non-refundable.

Preferred Veterinarian*
Client availability or requested dates and times for the exam
Name*
First Last
Email*
Phone*
Address*
Street Address City County State ZIP Code
Additional Services Requested-Fee Applies
CBC/Chemistry*
Fibrinogen*
Drug Test*
Endoscopic Exam*
Fecal Parasite Test*
Breeding Soundness Exam*
Digital Radiographs*
Digital Radiographs Requested
- Front Feet
- Hocks
- Front Fetlocks
- Hind Fetlocks
- Carpus
- Stifles
- Neck
- Back
Horse's Name*
Full Name
Horse's Age*
Full
Horse's Breed*
First
Horse's Color*
First
Horse's Sex*
First
Horse's Current Location*
Location
Buyer's Agent Phone
Buyer's Agent Name
Full Name
Horse's Current Owner*
Full Name
Phone Number of Horse's Current Owner (if known)
Horse's Current Selling Agent
Full Name
Phone Number of Horse's Selling Agent (if known)
File Upload
Max. file size: 5 GB.
If the horse's medical history is available, please upload it to this form.
I understand I must contact Unionville Equine Associates, P.C. by phone within 24 hours of the submission of this form with my credit card information in order for my pre-purchase exam to be scheduled. I also understand that if the purchase examination is canceled within 24 hour of the scheduled appointment their will be a 50% cancelation fee.
Agreement of Above Terms*

7108

Purchase Examination Form

Additional Services Requested-Fee Applies

Contact Info

Office Hours