Injury Reporting Form
Maryland private racetrack veterinarians shall complete the form below for any horses injured during racing or training activities at Laurel Park, Pimlico or Timonium. Any questions, please contact Maryland Racing Commission Executive J. Michael Hopkins, mike.hopkins@maryland.gov; 410.428.2391. Data is strictly confidential.
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Trainer's Name: *
Horse Name
Age
Sex
Track: *
Date Of Injury: *
MM
/
DD
/
YYYY
Location of Injury *
Vet's Name: *
Type Of Injury: *
Occurrence *
Were Diagnostics Performed? *
If Yes, Which Diagnostics Were Performed?
Diagnosis / Comments: *
Submit
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