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