Coggins Worksheet

Please note this is not a Coggins Test Submission. This is the information we need in order to schedule a Coggins Blood Draw and Submit a Coggins test. See below to schedule an appointment.

Please fill out one worksheet for each horse

Name of Owner/Manager*

Phone*

Email*

County*

Age or Date of Birth*

Breed*

Sex*

Color*

Attach Photos L, R & Front

Attachments (0)

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Guidelines for taking digital photographs for Coggins:

1 FULL Left View 1 FULL Right View 1 Front FACE View Hooves, tips of ears, nose and tail must be in the picture. Each leg must be visible all the way to the coronets. The horse should fill approximately 90% of the photo with minimal human content

We will need to draw blood as well - set up an appointment

Drop us a line!

Name

Email*

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Better yet, call or text: (757) 330-0612

Virginia Horse Vet Suffolk, Hampton Roads, Hampton Bays,Williamsburg, Petersburg, Franklin

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