Embryo Transfer Contract


	136 Watermark Road · Oxford, Pennsylvania · 19363 Voice 717.529.2848 · Fax 717.529.6010 www.watermark-farm.net · watermarkfarm@gmail.com

Embryo Transfer Form

(to be completed by the Treating Veterinarian)

Donor Mare Name:

Donor Mare Owner:

Recipient Mare Name:

Treating Veterinarian Name:

I, [printed name],

inseminated [Donor Mare] on [Date]
at AM / PM.

I, [printed name], retrieved embryos from the donor mare on .

In addition to this form, I, ,[Vet Printed Name] hereby acknowledge and affirm that a phone call to the Watermark Farm will be made within 24 hours of any attempt at embryo recovery as well as a statement in writing that certifies the number of embryos recovered, implanted and/or stored in a cryogenic procedure.

Veterinarian Signature Date

I,                                 [printed name], transferred a SINGLE embryo
from                                  [Donor Mare] to
                  [Recipient Mare]
on                                 at                              AM/PM.

Veterinarian Signature Date

I, [printed name], have performed all of the above procedures on behalf of [Donor Mare Owner]. embryos were transferred to the Recipient Mare[s] listed
above on [date]. embryos were processed and stored
cryogenically.

Veterinarian Signature Date

Printed Name:

State and License #:

Address:

Telephone #:

Fax #: