Additional Horse Form
Thank you for your interest in equine veterinary services provided by Dr. Erin Barrett of Spearhead Veterinary Services! Please use this form to add additional horses to your existing account. If you have questions, please call or text Dr. Barrett at 641-352-6050, or email her at spearheadveterinary@gmail.com.
Client Information
Name
First Name
Last Name
Horse Information
Registered/ Show Name (N/A if none)
Barn Name
Current Horse Location (if different from owner billing address)
Farm Name
Street Address
City
State / Province
Postal / Zip Code
Breed
Color
Age (approximate ok if unknown)
Gender
Mare/filly
Gelding
Stallion/colt
HISA Number (applies to racing Thoroughbreds only)
Microchip Number (if applicable)
Billing Responsibility/ Ownership Percentage
I am the sole owner and responsible for 100% of the billing on this horse
This horse is held in partnership and requires split billing (Dr. Barrett will reach out for that information)
Authorized Agent: if there is a person (spouse, trainer, barn manager, etc.) that can make veterinary decisions for this horse in the event that you cannot be reached, please add their contact information here.
Submit
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