Page 1 MVS ECUine 830 5 Matamata Veterinary Services Certificate ...

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Animal presented (If unnamed)

Equine vetehnarlans Australia A Special Interest Group of the Australian

vetertnsrv' Association Pl)9Hd- ABN 63 008 522 852

CERTIFICATE OF EXAMINATION FOR PREGNANCY

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as:

Sire:

Dam:

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Breed:

Microchie- No:

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Age/DOB:

Owner (if known):

Address (if known):

Person requesting

examinal:ion:

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Place of examination:

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Draw brands and/or markings: Mark whorls as X, scars as ••• 111

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Rear aspect forelegs L R

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THE EXAMINATION Date

Rectal Examination

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Comments:

Ultrasonographlc

examination

Positive

Negative

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Was there evidenceof twins?

This is to certify that I performed the described tests on the mare \

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Contact Number:

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Yes

No

Yes

No

Ves

No

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service,

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I Signed:

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Notes: 1) It is not possible to detect multiple pregnancies in all cases. 2) To obtain insurance for the pregnancy, these tests must be completed 45 d

Date:

Yes

D R 6 P MAC 0 l I N;(j R 0 S EflI 0 N T STUD 250 VOlUM ROAD GNARWARRE VII: 3221

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VPB No:

Equine vecennsrtens AustralJa • Certjfjcate of Examination

% 60

1

for Pregnancy. Olsdosure of history /s the responslblity

of the owner not the vetertnsrien

© This form may not be reproduced wihout oermtsston of the Australian Veterinary Association LTD. November 2011.

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