I confirm I am over 18 years of age and contractually responsible for settling the fee *

Yes

No

I am an existing client of Hampton Equine Vets Ltd *

Yes

No

Purchaser's Name *

First Name

Last Name

Purchaser's Phone Number *

(###)

###

####

Vendor's Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Enter your preferred appointment date *

MM

DD

YYYY

Address where vetting will be carried out *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

2 or 5 Stage Vetting? *

2-Stage

5-Stage

Does the Purchaser intend to be present at the examination?

Yes

No

Do you have access to the horse's medical history? If so please e-mail us a copy on office@hamptonequinevets.com

Yes

No

Will the horse be insured? *

Yes

No

Tick which of these you require *

Ultrasound examination of the distal limbs

Endoscopy of the upper airway

Pre-movement strangles blood test

X-rays

None of the above

Please confirm each of the following facilities will be available for the pre-purchase examination. *

A dark stable for the ophthalmic examination

A flat surface for the trot up

A hard non-slip surface for lunging

A suitable arena or area to lunge and ride in

I confirm that the information provided is correct and that I have read, understood and agree to the terms of business of Hampton Equine Vets Ltd. I have noted the contents of the Pre-Purchase guidance notes provided on the website. *

I agree