PRE PURCHASE EXAM PRICING

Buyer's Name

First NameLast Name
Date

MonthDayYear
Date
PRE PURCHASE EXAM PRICING
The Basic Pre-Purchase Exam - Includes a physical exam with vitals, Flexions, Test of Joints, Movement on hard and soft ground, and Hoof Testers. $414.00*

I authorizeI do not authorize
OPTIONAL ADDITIONS TO THE BASIC EXAM
My MAXIMUM budget for today is:*
RADIOGRAPHS - RADIOGRAPHS ARE RECOMMENDED AS THEY MAY REVEAL ISSUES THAT MIGHT ONLY BE DISCOVERED VIA RADIOGRAPH AND NOT VISIBLE DURING EXAM. IF FLEXIONS CAUSE SORENESS, RADIOGRAPHS ARE STRONGLY RECOMMENDED. THE VETERINARIAN WILL DISCUSS WITH YOU AT THE TIME OF THE EXAM.

Radiographs are $55.00 per view.
I prefer to wait for the doctor's recommendations based on the exam.*

Wait for doctor recommendationsI will make selections below.

PLEASE CHECK EACH ITEM YOU WANT THE DOCTOR TO PERFORM BELOW

	YES
FRONT FEET 5 VIEWS EACH FOOT - $550
HOCKS 4 VIEWS EACH HOCK - $440
STIFLES 3 VIEWS EACH STIFLE - $330
FRONT FETLOCKS 5 VIEWS EACH FETLOCK - $550
HIND FETLOCKS 5 VIEWS EACH FETLOCK - $550
CARPUS 5 VIEWS EACH CARPUS - $550
HIND FEET 2 VIEWS EACH FOOT - $220
CERVICAL5 VIEWS - $275
BACK 5 VIEWS - $275
ULTRASOUND - $155.25 PER LEG
ENDOSCOPY - $155.25
CBC - $83.80
CHEMISTRY - $67.28
FECAL TEST - $49.50
DRUG SCREEN - $341.55
DRUG SCREEN + CORTICOSTEROIDS - $440
COGINS AGID - $53.90
COGGIINS ELISA - $83.60