Veterinary Services Agreement

Veterinary Services Agreement
Thank you for retaining Evergreen Equine Veterinary Practice (EEVP) as your provider of veterinary health services. This agreement will govern the veterinary services we provide to the Horse Owner (Client) either directly or as approved by an authorized agent listed in this agreement. This agreement applies to all horses owned or leased by Client and applies to any and all veterinary services provided by EEVP, including but not limited to, patient services, procedures, medicines and farm calls to any and all horses on the Client’s behalf, whether or not the horse(s) is listed on page one of this Agreement.

Horse Owner Information (Please print)

Address
City
State/Province
Zip/Postal
Country

Lessee Information - If Applicable (Please print)

Lessee Address
City
State/Province
Zip/Postal
Country

Horse Info

Authorized Agent (Trainer/barn owner/Lessee, etc.)

Sending