INSIDE EQUINE HEALTH | FAECAL EGG COUNTING FORM
Please fill out this form to provide details of the horses being tested. If you have multiple horses that were wormed on different dates with different worming products, please ensure I can distinguish the details you provide.
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One owner one form please
Name *
Phone number *
Email address
Postal address *
Address horse is kept *
How many other horses is your horse housed with? *
Horse's name/s *
Horse's age *
Date your horse/s were last wormed *
What brand/s and type of worming product/s did you use. E.g. Equest plus tape / Ammo, paste / pellets *
Do you suspect that your horse is carrying a significant worm burden? *
Is your horse showing any clinical signs of carrying a worm burden? e.g. diarrhoea, weight loss, anaemia etc *
If you answered yes to the above question, please list signs
Please check that you understand each of the following limitations to FEC. *
Required
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