136
Watermark Road · Oxford, Pennsylvania · 19363
Voice 717.529.2848 · Fax 717.529.6010
www.watermark-farm.net · watermarkfarm@gmail.com
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136
Watermark Road · Oxford, Pennsylvania · 19363 |
| Mare Health Form | |||||||||
| This form must be completed and returned to Watermark Farm before requesting semen for shipment. | |||||||||
Mare’s Name: Breed: Registration #: |
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Mare’s DOB: Color and Markings: |
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Owner’s Name: Phone: Address: City: State: Zipcode: Email: |
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Veterinarian: Phone: Address: Fax: Email: |
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Foaling Mare: Due Date: or Date Foaled Tentative Breeding Date |
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| Non-Foaling Mare: Dates of Last Heat Cycle
Tentative Breeding Date |
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Please provide dates for the following:
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If this mare had a positive uterine culture, please list type and treatment:
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Deworming schedule:
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Breeding History: Last 3 years bred Foaling Results Years Aborted Early Fetal Loss Caslick’s Retained Placenta Other |
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| Does Mare Cycle Regularly? Obvious Heat Cycles? | |||||||||
| Do you understand that
the mare must be examined by ultrasound 14 to 18 days after insemination, by
ultrasound or palpation between 30 and 35 days and again between 50 and 60 days?
[Veterinarian Initials] [Owner Initials] |
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The above mare is free of infection and is in sound breeding condition. Date |
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Mare Owner signature: Date |
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