Kern Road Veterinary Clinic

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Coggins Form Information:

Thank you for allowing us to handle your Coggins test this year. Not only has the state continued to mandate this test for any horse traveling within Michigan, but they have also become more stringent about having accurate and specific information on the paperwork.

To ensure the accuracy of your paperwork, please print the attached page off of your brownser, fill it out and have it ready for the veterianrian at the time of your appointment. It is important that all areas be filled out completely. Once the blood has been submitted to the state, we are unable to make changes to the form. If changes need to be made, we will need to redraw the sample and resubmit.

Stable Name - Include name and address of where the horse is stabled
Owner Name - Can be typed as Owner c/o Trainer if trainer will be shipping or showing. Coggins form will be mailed to this address by the state
Tattoo/Brand - Please draw tattoo or brand and indicate location
Name - Registered name if horse is registered
Color - at your discretion. Paints should indicate tobiano or overo
Breed - registered breed or "Grade"
Registration number - include registration number if horse is registered. This area can also contain microchip identification information
Age/DOB - Age or date of birth
Sex - Female, male or gelding (note- the state asks for female, not "mare"). Horses marked "M" will be marked as a male.
Markings - Please draw markings. Be sure the drawing shows markings as viewed on the right and the left side of the horse.


Kern Road Veterinary Clinic 105 Fowlerville Road
Fowlerville, MI 48836
Tel: 517.223.9618
Fax: 517.223.0101
  • Mon. 8:00 am - 7:00 pm
  • Tue. 8:00 am - 5:00 pm
  • Wed. 8:00 am - 7:00 pm
  • Thu. 8:00 am - 5:00 pm
  • Fri. 8:00 am - 5:00 pm
  • Sat. 8:00 am - 12:00 pm
  • Sun. Closed