Report a case

Information about the owner

Last name

First name

Street

Zip

City

Country

Phone

I agree to be contacted

Or enter the contact details of your veterinarian, if they do not appear in the list

First name

Last name

Country

Optional

Phone

I agree that the veterinary will be contacted

Type of entity

Name of the entity

Website

Name

Sex

Age

in months or years

Type

Breed

Does the horse have access to pasture ?

Was the horse in training ? (sport or leisure)

Apart this outbreak of myopathy, had the horse ever suffered from myopathy in the past ?

Had the horse been vaccinated ? (at least once a year)

Had the horse been dewormed ?

Click on the map to locate the pasture

Country

City

Zip code

Latitude

Longitude

Size of the pasture (possibly approximately) in acres

Is the pasture planted or lined with Sycamore Mapples?

Does the meadow contain or is bordered by water accumulation zones (eg, ponds, mere, wetlands...) or a river ?

How was the grassland on the pasture at the time of the onset of atypical myopathy ?

In what season(s) is the meadow occupied ?

Spring

Summer

Fall

Winter

To your knowledge, did the horse have the opportunity to ingest...

For Fall: samaras ('Helicopter') from maple trees?

For spring: seedlings of maple tree?

In the past, did horses die in this meadow

Today, the horse is

Thank you for completing this form. If you have any remarks or comments, please write them below, we will be happy to improve this tool.

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Report a case - Owner

Information about the owner

Click on the map to locate the pasture

In what season(s) is the meadow occupied ?

To your knowledge, did the horse have the opportunity to ingest...

Thank you for completing this form. If you have any remarks or comments, please write them below, we will be happy to improve this tool.