Fyrnwy Equine Hospital 01939 260251

Wrexham Equine Clinic 01978 664459

Emergencies
Register your horse

Fyrnwy Equine Group's home page

Fyrnwy Equine Hospital 01939 260251

Wrexham Equine Clinic 01978 664459

Emergencies

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Hospital Admissions

Please complete our Hospital Admissions form before your horse's procedure

Hospital Admissions

Please complete our Hospital Admissions form before your horse's procedure

Select a surgery:

Select a surgery:

Contact details

Title:

Your Full Name*:

House name/number*:

Street*:

Address (Optional):

City*:

County*:

Postcode*:

Country*:

Email*:

Contact Number:

Transporter Name:

Horse details

Your Horse's Name:

Your Horse's Age (if known date of birth):

Your Horse's Breed:

Your Horse's Sex:

Which procedure is your horse booked in for?:

Current level of work:

What is your horse used for?:

Is your horse up to date with Flu and Tetanus vaccines?:

Yes
No

May we clip your horse if necessary?:

Yes
No

Is your horse up to date with worming?:

Yes
No

Does your horse have any allergies?:

Yes
No

If your horse does have an allergy or allergies, please provide details here:

Is your horse shod currently?:

Yes
No

(Please be aware these need to be removed before surgery and MRI)

Does your horse have any habits?:

Yes
No

If your horse does have any habits, please provide details here:

Does your horse have any known heart problems?:

Yes
No

If your horse does have any known heart problems, please provide details here:

Does your horse have any respiratory problems?:

Yes
No

If your horse have any respiratory problems, please provide details here:

Does your horse have any history of tying up?:

Yes
No

Is your horse signed out of the food chain in the passport?:

Yes
No
Unknown

Any other history or illness? :

Any special precautions?:

Does your horse behave for lunging?:

Hard Feed:

Hay / Haylage (soaked)?:

Is your horse on any current medication?:

Yes
No

If your horse is on any current medication, please provide details here:

In the last 30 days has your horse had symptoms of, or contact with any other horses with, infectious diseases such as Flu, Ringworm or Diarrhoea?:

Yes
No

In the last 30 days if your horse has had any symptoms or contact, please provide details here:

Insurance Details

Is your horse insured?:

Yes
No

Insurance Company:

Policy Number:

Type of Cover:

Security Question:

I have read and agreed to the privacy notice:

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Company's registered name: Independent Vetcare Ltd

Registered number: 07746795

Registered Address: The Chocolate Factory, Keynsham, Bristol BS31 2AU

Authorised and regulated by the Financial Conduct Authority for credit-related regulated activities under reference number: FRN738010

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Home
Meet the Team
Services
Equine Health Plan
Referrals
Careers
- Our Vacancies
- Internships
Pay Online
Contact Us
- Emergencies
- Register

Emergencies

Emergencies
Register your horse