Pre-Purchase Form History as reported by the seller / seller’s agentName of Horse Owner:Agent for the Owner:Is Agent or Owner going to be present during the exam?YesNoNameBarn NameAgeColorBreedRegistered?Are registration papers available?Past use of the animal?How long has the animal been in work?While the horse has been in your care, has the animal ever:Colicked?YesNoBeen lame?YesNoIf so, explain?Foundered?YesNoTested or treated for EPM?YesNoTested or treated for Lymes?YesNoHad surgery other than castration?YesNoIf so, when and what?Any other medical facts?When was horse last vaccinated?Last wormed?Last teeth float?Is the horse allergic to any medication?Are medical records available for review?YesNoVicesKick?YesNoBite?YesNoCribbing?YesNoWeaving?YesNoStall walking?YesNoBuck?YesNoRear?YesNoClip, load, tie?YesNoIs the animal currently on any medications?YesNoCurrent coggins?YesNoHas another prepurchase been done in the past 60 days?YesNoSignature*
