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Windmiller Equine Pre-Purchase Exam Questionnaire


Click to Download Form or you may complete the questionnaire below.
​Be sure to hit the "Submit" button at the bottom of the page.​

    ​​SELLER INFORMATION​
    [object Object]


    ​AGENT INFORMATION​ (if applicable)


    ​HORSE GENERAL INFORMATION


    ​HORSE MEDICAL HISTORY
    ​By entering your name in the signature box below and submitting this form, you are indicating that you are the owner of the horse or the authorized agent for the owner and that the above answers are true and complete to the best of your knowledge.

    ​In order to obtain quality radiographs and to perform a through dental exam and any other exams that will require the horse to remain still, the horse may need to be sedated.  By entering your name in the signature box below and submitting this form, you are giving approval to sedate the horse indicated above if deemed necessary by the examining veterinarian in order to assure safe, thorough and effective diagnostics and examinations.

Submit

Windmiller Equine Service Area

Windmiller Equine Service Area Map
Service Area map is an estimate meant to include all areas
​within a 45 minute drive of Pickerington, OH

​Contact Us

Appointments, Emergencies & Information:

Phone:  (614) 695-5225


​Ambulatory Hours:​​

Monday - Friday  8:00 am to 5:00 pm

​Emergency Hours:​

Monday - Friday  5:00 pm to 8:00 am
​All Day Saturday, Sunday & Holidays
  • Home
  • About
    • Our Team
    • Blog
    • Reviews
  • Services
    • Services
    • Service Area
  • Forms
    • New Client Information Request Form
    • Client Service Agreement
    • Prepurchase Exam Questionnaire
    • Pre-Purchase Liability Release
    • Equine Castration Consent
    • All Forms
  • Contact Us
  • Store