18577 Natchez Avenue, Prior Lake, Minnesota, 55372

Cleary Lake Veterinary Hospital

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(952) 435-8387

Mare Breeding Check-In Form

  • Client Information

  • Patient Information

  • Sleeping SicknessRhinovirusStranglesTetanusWest Nile 
  • PotomacInfluenzaRabiesRotavirusOther 
  • If yes, please bring copy with you
  • Reproductive History

  • Feeding Instructions

    We recommend you to bring your horses regular grain otherwise a ration balancer will be provided.
  • Note: Halters should be left with your horse. However, all other accessories such as lead ropes, blankets, leg wraps, etc., should be taken home with you unless needed for turn out.

    Cleary Lake Veterinary Hospital will not be responsible for loss or theft of any items left with your horse.

  • TREATMENT CONSENT

    I hereby authorize the performance of those diagnostic, anesthetic, surgical and therapeutic procedures as recommended, in the best interest of my horse by the clinical staff of Cleary Lake Veterinary Hospital. I understand that all reasonable precautions will be taken to assure the safety and well being of my horse while in the breeding centre. I have been advised as to the nature of the procedure(s) or operation(s) and the risks involved. I realize that results cannot be guaranteed.

    I understand that during the performance of the foregoing procedure(s) or operation(s), unforeseen conditions may be revealed that necessitate an extension of the foregoing procedure(s) or operation(s) or different procedure(s) than those set fourth above. Therefore, I hereby consent to and authorize the performance of such procedure(s) as are necessary and desirable in the exercise of the veterinarian’s professional judgment. I have read and signed this authorization and consent.

  • Payment Policy

    DEPOSIT IS REQUIRED UPON ADMITTANCE; FULL PAYMENT IS DUE UPON DISCHARGE.
  • A $30 service charge will be assessed for a returned check. I have discussed the estimate costs for the procedure(s) with a staff member of Cleary Lake Veterinary Hospital and I fully understand I am financially responsible for all costs incurred including 1 ½ % interest or $1.00 billing charge, whichever is greater, assessed monthly on unpaid balance.
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Office Hours

Monday – Friday: 8am – 6pm
Saturday: 8am – 1pm

Contact Us

18577 Natchez Avenue
Prior Lake, Minnesota, 55372

Phone: (952) 435-8387

Proudly Serving: Lakeville, Prior Lake, Savage, Shakopee, Elko- New Market, Farmington, Apple Valley and Burnsville

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