USEF Medication Report Form

From Aug. 30 - Sept. 3, the USEF office will be closed while we move to our new building. During this time, USEF’s online tools and services—including the website, Customer Care Center, horse and member records, fax, and email—will be unavailable.

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USEF Medication Report Form

Competition Search

State

Month

Identification of Horse / Pony

Enter a Horse ID to autofill

Name

Age

Gender

Color

Weight

Entry #

Trainer

Owner

Breed / Discipline

Microchip

Veterinarian and Contact Information

Veterinarian

Veterinarian Email

Veterinarian Phone

Diagnosis

Flunixin administered?

Contact Email

Signature

I would like to be considered for a Pergolide Therapeutic Use Exemption

Identification of Medication

Medication Name

Amount

Strength

Administration Route

Administration Method

Administration Date

Administration Time

No Medications Identified

Create