Health Certificate

In order to transport your horse out of state, attend horse related events, or move your horse to a new boarding facility, you may need a health certificate for your horse. If you have not already done so, please call our office to set up an appointment for a health certificate exam. These equine health certificates are valid for 30 days after the date of the exam. Current pictures or an accurate drawing of all markings and brands on the horse is required. A negative Coggins test result is also mandatory. Please fill out all required fields in the form in order to have an accurate Health Certificate.

Owner's Information

Owner's Name *

Your Email *

Address *

City *

State *

Zip Code *

Horse Information

Horse Name *

Registered Name

Color *

Breed *

Age *

Date of Birth

Sex *

Left Side View

Right Side View

Head View

Additional Horse Info

Horse Name 2

Registered Name 2

Color 2

Breed 2

Age 2

Date of Birth 2

Left Side View 2

Right Side View 2

Head View 2

Stable Information

Same as Owner yes
Stable Name *

Stable Address *

Stable City *

Stable County *

Stable State *

Stable Zip Code *

Destination Information

Destination Name *

Destination Phone *

Destination Address *

Destination City *

Destination State *

Destination ZipCode *

Carrier Information

Carrier Name *

Carrier Phone *

Consignee Information

The Consignee is the person whom the horse is to be delivered
Consignee Name *

Consignee Address *

Consignee City *

Consignee County *

Consignee State *

Consignee ZipCode *

Additional Questions

Reason for Testing *

Do you already have a Coggins Test? * yesno

Have you scheduled an appointment with one of our Veterinarians yet? * yesno

Departure Date?

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