Appendix B -Master Chart for Equine Health Management

Source: adapted from Kellon, 1991

Owner____________________________________ Phone Numbers_________________

Address___________________________________ ______________________________ __________________________________________ ______________________________

__________________________________________ ______________________________

Signed Authorization to Provide Medical Care in Owner’s Absence:

__________________________________________________________________________

Name of Horse______________________________________________________________

Distinguishing Marks/Scars____________________________________________________

Veterinarian________________________________________________________________

Farrier_____________________________________________________________________

Other Professionals___________________________________________________________

Location (Stall # and Pasture #)_________________________________________________

1.) Regular Feed_____________________________________________________________

Feed Changes

Date_____________ From______________________________________________

To________________________________________________

Date_____________ From______________________________________________

To________________________________________________

Date_____________ From______________________________________________

To________________________________________________

2.) Shoeing

Date_____________ What Was Done_____________________________________

____________________________________________________________________Date_____________ What Was Done_____________________________________ ____________________________________________________________________

Date_____________ What Was Done_____________________________________ ____________________________________________________________________

Shoeing, cont.

Date_____________ What Was Done_____________________________________ ____________________________________________________________________

Date_____________ What Was Done_____________________________________ ____________________________________________________________________

Date_____________ What Was Done_____________________________________ ____________________________________________________________________

Date_____________ What Was Done_____________________________________ ____________________________________________________________________

3.) Immunizations

Date_____________ Vaccines Given______________________________________ _____________________________________________________________________

Date_____________ Vaccines Given______________________________________ _____________________________________________________________________

Date_____________ Vaccines Given______________________________________ _____________________________________________________________________

Date_____________ Vaccines Given______________________________________ _____________________________________________________________________

Date_____________ Vaccines Given______________________________________ _____________________________________________________________________

Date_____________ Vaccines Given______________________________________ _____________________________________________________________________

4.) Worming

Date_____________ Brand and Dose______________________________________

Date_____________ Brand and Dose______________________________________

Date_____________ Brand and Dose______________________________________

Date_____________ Brand and Dose______________________________________

Date_____________ Brand and Dose______________________________________

Worming, cont.

Date_____________ Brand and Dose______________________________________

Date_____________ Brand and Dose______________________________________

Date_____________ Brand and Dose______________________________________

Date_____________ Brand and Dose______________________________________

Date_____________ Brand and Dose______________________________________

5.) Dental Care

Date_____________ What Was Done_____________________________________ Date_____________ What Was Done_____________________________________ Date_____________ What Was Done_____________________________________ Date_____________ What Was Done_____________________________________ Date_____________ What Was Done_____________________________________

6.) Unscheduled Veterinary Visits

Date_____________ Reason for Visit_____________________________________

Treatment____________________________________________________________

Date_____________ Reason for Visit_____________________________________

Treatment____________________________________________________________

Date_____________ Reason for Visit_____________________________________

Treatment____________________________________________________________

Date_____________ Reason for Visit_____________________________________

Treatment____________________________________________________________

Date_____________ Reason for Visit_____________________________________

Treatment____________________________________________________________

Date_____________ Reason for Visit_____________________________________

Treatment____________________________________________________________

Date_____________ Reason for Visit_____________________________________

Treatment____________________________________________________________

7.) Photographs -Attach to Master Chart