Register

Registration

In order to provide you with a smooth, quick and easy registration, we have a number of options available, depending on your requirements:

Register as a new client. If you have not yet registered with us, please fill in section 1, below.
Book a Vetting: If you would like to book a vetting, please fill in section 2, below
Referral Form (Veterinary Surgeon/EDTA): If you wish to refer a client to us, please fill in section 3, below
Mare Booking Form: If you would like to book your mare in for covering, please fill in section 4, below

Once you have submitted your form, a member of our team will be in touch as soon as possible to complete the registration process with you.

If you are new to Tullyraine Equine Clinic, please submit your details and a member of our team will get in touch with you soon. By submitting this form, you agree to Tullyraine Equine Clinic’s T&Cs.

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Thank you for your email.

Thank you for your email. We’ll be in touch as soon as possible. Kind regards, The Tullyraine Equine Clinic team

Name

Email

Phone

Address including postcode

Horse’s Passport Name

Horse’s Stable Name

Breed

Gender

Mare Stallion Gelding

Horse Sire and Dam

Passport Number

Microchip Number

Horse’s Date of Birth (DD/MM/YYYY)

Previous Vet Practice

Clinical History

Please complete the form below to refer a patient and a member of our team will be in touch soon. Should you have any relevant images (photos/X-rays/US images) please email them to reception@tullyraine.com

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Thank you for your email

Thank you for your email. We’ll be in touch as soon as possible. Kind regards, The Tullyraine Equine Clinic team

Owner Name

Email

Phone

Address including postcode

Horse’s Passport Name

Horse’s Stable Name

Breed

Gender

Mare Stallion Gelding

Horse Sire and Dam

Passport Number

Microchip Number

Horse’s Date of Birth (DD/MM/YYYY)

Your Name (Vet/EDTA)

Your Practice

Phone number

Clinical History

Reason for Referral

If you are new to Tullyraine Equine Clinic, please submit your details and a member of our team will get in touch with you soon. By submitting this form, you agree to Tullyraine Equine Clinic’s T&Cs.

← Back

Thank you for your email.

Thank you for your email. We’ll be in touch as soon as possible. Kind regards, The Tullyraine Equine Clinic team

Name

Email

Phone

Address including postcode

Mare’s Passport Name

Mare’s Stable Name

Breed

Mare Sire and Dam

Passport Number

Microchip Number

Mare’s Date of Birth (DD/MM/YYYY)

Mare Breeding Status (choose one option)

Maiden Barren Foal at foot

Chosen Stallion (choose one option)

Fresh semen Frozen semen Natural cover

Stallion to be used

Breeding History

Registration

1. Register as a new client+

Thank you for your email.

2. Book a Vetting+

Thank you for your email.

3. Referral Form (Veterinary Surgeon/EDTA)+

Thank you for your email

4. Mare Booking Form+

Thank you for your email.