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Get Fei Veterinary Form 4

VETERINARY FORM 4 SELF-DECLARATION FOR SPECIFIED SUPPORT SUBSTANCES To be used in accordance with Veterinary Regulations Self-Declaration Substances A copy of this form must be provided to the Veterinary Commission/ Delegate prior to the administration of any substance. A copy must also be supplied to the Person Responsible and be available at all times for inspection if requested by a FEI Steward. Discipline please tick as appropriate Jumping Dressage Eventing Driving Vaulting Endurance Reining Para-Equestrian During the Event please write location and category I medications maximum of 3 substances for FEI Permitted Treating Veterinarian name declare that I will use the following Horse s name Horse FEI ID number or Passport number Stable Number Person Responsible Competition number Country/ National Federation SUBSTANCE PRODUCT TRADE NAME REASON FOR ADMINISTRATION DOSAGE ROUTE IM IV DATE TIME Joint Support Injectable Vitamins Amino Acids Traumeel Zeel Veterinarian FEI ID Number Signature of Treating Date Only substance specifically listed in the 2014 Veterinary Regulations Edition 13 may be administered by means of Self-Declaration with this Veterinary Form 4. VETERINARY FORM 4 SELF-DECLARATION FOR SPECIFIED SUPPORT SUBSTANCES To be used in accordance with Veterinary Regulations Self-Declaration Substances A copy of this form must be provided to the Veterinary Commission/ Delegate prior to the administration of any substance. A copy must also be supplied to the Person Responsible and be available at all times for inspection if requested by a FEI Steward.

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