Equine field identification report Date: _____________________ Case Name: __________________________________ Scribe: __________________________ Equine ID: __________________ Type of Equine: �� Horse �� Pony �� Donkey �� Mule Breed: _____________________ Age: _____ Sex: �� Gelding �� Mare �� Filly �� Colt �� Stallion Color: ______________________________________________ Brands/Tattoos/Scars: ___________________________________ Markings: Face �� Star �� Strip �� Snip �� Blaze �� Bald Legs RT Front: ____________ RT Hind: ____________ LFT Front: __________ LFT Hind: _____________ HORSE AS VIEWED FROM THE RIGHT (OFF) SIDE HORSE AS VIEWED FROM THE LEFT (REAR) SIDE WHORL AREA 4 WHORL AREA 5 WHORL AREA 6 WHORL AREA 7 WHORL AREA 1 WHORL AREA 2 WHORL AREA 3 REAR VIEW REAR VIEW LEFT RIGHT LEFT RIGHT Fore Legs Hind Legs PLEASE DRAW ALL MARKINGS, BRANDS, SCARS, AND WOUNDS ON THE DIAGRAMS AFTER A VISUAL INSPECTION. Vitals: Temp: ______________ Resp: ________________ BSC: _____________ Estimated Weight: _____________ Other Indicators A B C D Wounds None Scrapes Skin wounds Deep wounds Coat Condition Shiny Dull/shedding Rain Rot Lice Lameness Sound Slightly lame Lame at Walk Lame Standing Hoof Condition Normal Slightly long Excessively Long Abscess/other issues Other Notes: _________________________________________________________________________________________________ ______________________________________________________________________________________________________________ ______________________________________________________________________________________________________________ ______________________________________________________________________________________________________________ ______________________________________________________________________________________________________________ Appendix IV
20028HS
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