Charleston Equine Clinic

(843) 875-5133

122 Kay Lane, Summerville, SC 29483

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Pre-Purchase Form

Pre-Purchase Form

MM slash DD slash YYYY
Address(Required)
I choose the following additions: (Initial next to each selection)
Pricing available upon request
Radiographs:
Pricing available upon request
I hereby authorize the veterinarians of Charleston Equine to examine the horse listed above for a pre-purchase examination. I assume responsibility for all charges incurred for the selections that I have made above. I also understand that these charges must be paid for at the time of service. I also understand that any estimates that were given may not be the total cost as there may have been other expenses incurred during the examination.
MM slash DD slash YYYY
*If purchaser is not able to be present at the time of exam a credit card must be left on file. You may also call in your credit card number to be held on file before the service date.
Credit Card Type:(Required)
I authorize Charleston Equine Clinic to charge the credit card listed above/or on file for all expenses incurred for the pre-purchase base exam and selections chosen above.
MM slash DD slash YYYY
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(843) 875-5133
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Office Hours

Monday – Friday: 8:30am-5:00pm
Saturday, Sunday: Office Closed
Available 24 hours, 7 days a week for equine medical emergencies!

Appointments

We will do our best to accommodate your busy schedule. Request an appointment today!

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Get In Touch

(843) 875-5133

122 Kay Lane
Summerville, SC 29483

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