This form is for veterinarians. If you own a horse, there is a specific form to report a case.

VETERINARIAN

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1. EQUIDAE OWNER

2. EQUIDAE IDENTIFICATION

Age or date of birth

3. History

To your knowledge, would the horse have had the possibility to ingest:
Le plus précisément possible

4. CLINICAL EXAM

Le plus précisément possible

Cardiac system

Respiratory system

DIGESTIVE SYSTEM

5. SPECIAL SIGNS (reinforce the suspicion of atypical myopathy and contribute to prognosis):

(reinforce the suspicion of atypical myopathy and contribute to prognosis)

6. LABORATORY TEST

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UI/L

7. TREATMENTS

8. NECROPSY

9. MISCELLANEOUS

Thank you very much for your collaboration