Supplemental Information Form - clemson 2025

1. Click ‘Get Form’ to open the Supplemental Information Form in the editor.
2. Begin by filling out the Horse Information section. Enter the county, city/town, zip code, and specific location details. If necessary, provide directions or draw a map on the reverse side.
3. Complete the Signalment and History section by entering the horse's name, breed, color, age, and gender. Include significant history and vaccination status. If vaccinated, specify which vaccines were administered and their dates.
4. In the Owner Information section, input your name, address, phone numbers, and any different mailing address if applicable.
5. Fill out the Veterinarian Information with your vet's name, clinic address, and contact details.
6. Lastly, complete the Laboratory Information section by providing case numbers and testing performed. Add any comments as needed.
7. Once completed, save your form and follow instructions to fax or mail it to Clemson Livestock Poultry Health.

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