Brendan W. Furlong, M.V.B.

Equine Veterinarian, P.A.

 

Advisory and Consent form for horses imported through the quarantine facility at

All-D-Reiterhof Farm

33 Naughright Road

Long Valley, NJ  07853

 
I, the owner of the horse 
Color:    Sex    Breed: 
hereby consent to the provision of veterinary care by B.W. Furlong and Associates.  I hereby
authorize All-D-Reiterhof Farm to act as my agent and request care as needed in his judgment. 
I agree to pay the reasonable fees for these services at the time my horse is released from quarantine.
Owner or Agent For Owner  Date: 
 
Owner Name:Phone:
                    
Address:City: State: Zip:
 
Treatment for any illness or injury while at the facility will be charged to owners at the veterinarians regular rate.
 
Vaccinations against the diseases encountered in this country may be started while the horses are in quarantine.  B.W. Furlong and Associates recommends the following protocol.
 
Week 1     Influenza/Rhinopneumonitis                                           Total Charge:   $100.00
                 Eastern/Western Encephalitis
                 Tetanus (included in Encephalitis)
 
Week 2     Potomac Horse Fever
                 Rabies
                 Botulism
 
Booster vaccinations should be done 3-4 weeks after the initial injection.
 
Yes,  I would like to start the vaccination series.
Owner or Agent: 
 
No, I decline vaccinations at this time.
Owner or Agent: 
 

     If you have any questions or concerns regarding these policies please do not hesitate to call our office at (908) 439-2821.                                                        

 

P.O. BOX 16, 101 HOMESTEAD ROAD, OLDWICK, NJ 08858

PHONE:  908-439-2821, FAX:  908-439-2691