Information you have, questions for your vet and advice you receive.
Do not delay contacting your vet to complete these notes or take measurements. Write Unknown where information is uncertain.
The time something was first noticed may not be when it began. 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 and notes reference. Do not duplicate a page within the PDF. On paper, use another printed copy of the relevant page.
| Record or instruction | Source and date or version | Where kept or attachment reference |
|---|---|---|
Include relevant reports, test results, current prescriptions or labels, dose records and existing care instructions. Keep the original instructions available; a planned dose does not establish that it was given.
| Date and time observed | What was observed | Observed by or reported source |
|---|---|---|
Start with the earliest observation. Describe what was noticed and any changes since then. Identify reports from other people and mark uncertain dates or times as Unknown.
| Measurement | Value and unit | Actual date and time | Taken by and source or circumstances |
|---|---|---|---|
Record only measurements you have. Do not substitute an estimate or reference value for a measurement.
| Actual date and time | What happened | Done by and record source |
|---|---|---|
For a recorded medicine dose, include the medicine, amount and unit, actual date and time, and who gave it. Describe uncertainty explicitly. Keep instructions and plans separate from recorded events.
| Question reference | What you want to ask |
|---|---|
Give each question a short reference so you can match it to an answer or carry it into the open-questions section.
| Question reference or topic | Answer or instruction received | Given by, with practice and conversation date and time |
|---|---|---|
Record what was said without adding your own interpretation. Ask about anything unclear. An unanswered question belongs in the open-questions section.
| Question reference and what remains unclear | Who will ask or clarify it | Any agreed next contact and date |
|---|---|---|
Leave a question open until an answer has been received. Record the answer, its source and date in the answers section.
| Action reference and agreed action | Person responsible | Agreed date or timing | Agreed with and advice reference |
|---|---|---|---|
Copy only the timing that was agreed. Write Not agreed if no date or timing was agreed. An expected callback, an arranged visit and a visit that took place are different records.
| Action reference, if any | What happened | Actual date and time | Done by or reported source |
|---|---|---|---|
Complete an event record only when you know what happened. A blank row means no event has been recorded here; it does not establish whether the action happened. For more space, follow the continuation instructions on page 1.