Client Information Forms

Please fill out the appropriate Client Information form prior to coming to Fairfield Equine.

If you have any questions, please contact the office at 203.270.3600.

• Admission Form for Elective Procedures and Outpatients
• Veterinary Services Contract - Client
• Veterinary Services Contract - Hospitalization / Referral

MRI / Scintigraphy Referral Form

Please complete this history form for your patient's MRI or Bone Scan to the best of your knowledge and submit prior to your client's appointment.

If you would like to speak to one of our doctors regarding this appointment, please call the office 203-270-3600 or email imaging@fairfieldequine.com.

Therapy Request Form

Please complete the request form for your patient's therapy needs.

If you have any questions or would like to speak to our therapy department, please contact the office at 203-270-3600.

Thank you for scheduling your appointment with Fairfield Equine Associates!