Horse Eligibility Questionnaire

Please answer all questions. An incorrect answer may affect eligibility for the Coli-Shield scheme. If you are eligible for the scheme you will also need your horse's microchip number. If you have any questions, please refer to our FAQ page for further details

Vet Code

Do you have a vet code?

Age & Health

Is your horse between 2 and 15 years old?

Is your horse currently in sound health and free from any injury, illness, or physical abnormality?

Is your horse currently free of colic and showing no colic symptoms?

Medical History

Has your horse ever undergone Emergency Colic Surgery?

Has your horse ever undergone a digestive tract resection?

Has your horse received veterinary attention for colic in the last 24 months?

Location & Usage

Will your horse primarily reside within the United Kingdom?

Do you agree to notify Equine America within 14 days of any changes to your horse's health, location, or use?

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Horse Eligibility Questionnaire

Vet Code

Age & Health

Medical History

Location & Usage

Customer details

Horse details

Vet details