MM slash DD slash YYYY
Time*
:
horse information*
Horse
Breed
Age
Sex
Color
Any prior problems? Use? Location & travel history last 6 months?
Describe the problem you perceive? When did you first notice it?

OBSERVATIONS FROM A DISTANCE

General Attitude & Demeanor:*
Appetite:*
Drinking*
Manure Amount*
Urine Amount*
Urine Appearance/Color*
Manure Appearance*

PHYSICAL ASSESSMENT

Condition/Quality of Skin & Coat*
Condition/Quality of Main & Tail*
Gum Color (Mucous Membrane)*
Capillary Refill Time
Skin Pinch - Hydration*
Pulse Feels*
Heart Sounds*
Breathing Seems*

GUT SOUNDS

Left Upper*
Left Lower*
Right Upper*
Right Lower*
Lowest-Belly*

HEAD, FACE, & EYES

Look for asymmetry, swellings, injury, heat, or pain response.
Head, face & throat look & feel*
Left Eye*
Right Eye*

LEGS & FEET

Look for asymmetry, swellings, injury, heat, or pain response.
Limbs look & feel*

Feet look & feel

LF*
RF*
LH*
RH*

Others

Look for asymmetry, swellings, injury, heat, or pain response.
Body, neck & back look & feel*
Under belly looks & feels*
Tail & under tail looks & feels*
Sheath or udder looks & feels*

Horse at Movement

Walk straight away, turn sharp both left and right
Looks

Please share your findings and concerns with your veterinarian

This field is for validation purposes and should be left unchanged.