Halster

Medication record

One horse and one medicine per sheet.

Horse and contact details

Horse’s name

Horse identification

Prescribing vet

Veterinary practice

Practice telephone

Prescribed instructions

Medicine name

Strength

Prescribed amount and unit

Route of administration

Prescribed timing or frequency

Prescribed start date, if given

Prescribed end date, if given

Additional instructions from your vet

Prescription or label reference

Date of the source instructions

Instructions copied by

Date copied

Copy the current instructions exactly and keep the original with this sheet. Ask your vet about anything unclear. Only text visible inside a box will print; each line break uses space. If a box is full, continue in a separate blank copy of this PDF, using the same horse, medicine and prescription reference. Do not duplicate a page within the PDF. On paper, use another printed copy of the relevant page.

Halster

Dose record

A blank outcome means no outcome has been recorded.

Horse’s name

Medicine name

Strength

Prescription or label reference

Date of the source instructions

Planned date and time	Recorded outcome	Actual date and time given	Amount given and unit	Given by	Entry date and time	Recorded by	Note
	GivenNot givenNot sure
	GivenNot givenNot sure
	GivenNot givenNot sure
	GivenNot givenNot sure
	GivenNot givenNot sure
	GivenNot givenNot sure
	GivenNot givenNot sure
	GivenNot givenNot sure
	GivenNot givenNot sure

If you are unsure whether a dose was given, contact your vet for instructions. Do not use this sheet to calculate a catch-up dose.

Questions or changes to check

Question, date and person to contact