Nutrition Submission

Tillotson Equine Internal Medicine Mobile Services

Welcome to Tillotson Equine Nutrition Consult Submission Form!

For instructions or a printable copy of this form please click here.

Click Edit Form to add form elements. You can enter a form description and instructions here.

Owner name:
Horse name:
Age:
Gender:
Height:
Breed:
Weight:
Please indicate which method you used to obtain this measurement:
Neck/Height ratio::
Does you horse have any current health/soundness problems that you are aware of?:
Has you horse ever had any health/soundness problem in the past?
How often do you ride your horse?
If you ride your horse, how long do you typically ride?::
How many hours does your horse spend turned out?:
What type of pasture is your horse turned out on?:
What type of hay do you feed?:
How many pounds of hay do you feed each day?:
Does your horse eat all the hay that is placed in front of him/her?:
Are you planning on, or have you already submitted your hay for analysis?::
Please list the specific brand and make of ALL concentrated feeds you give your horse::
How much concentrated feed to you give your horse every day? (If you feed more than one please specify how much of each is fed):
Please list any supplements you give your horse