{"id":3304,"date":"2020-09-03T14:18:57","date_gmt":"2020-09-03T18:18:57","guid":{"rendered":"http:\/\/chuv.umontreal.ca\/english\/?page_id=3304"},"modified":"2024-12-17T12:10:25","modified_gmt":"2024-12-17T16:10:25","slug":"equine-preadmission-certificate","status":"publish","type":"page","link":"https:\/\/chuv.umontreal.ca\/english\/equine-preadmission-certificate\/","title":{"rendered":"Equine Preadmission Certificate"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row][vc_column][vc_column_text css=&#8221;&#8221;]<strong>This certificate must be completed by a veterinarian.<\/strong>[\/vc_column_text]<div class=\"wpforms-container wpforms-container-full wpforms-container-save-resume\" id=\"wpforms-4874\"><form id=\"wpforms-form-4874\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"4874\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/english\/wp-json\/wp\/v2\/pages\/3304\" data-token=\"d39e25f0806765d86dd24860957e0b4c\" data-token-time=\"1776480632\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-4874-field_1-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-4874-field_1\">Owner: <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4874-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" required><\/div><div id=\"wpforms-4874-field_2-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-4874-field_2\">Name of the stable:<\/label><input type=\"text\" id=\"wpforms-4874-field_2\" class=\"wpforms-field-medium\" name=\"wpforms[fields][2]\" ><\/div><div id=\"wpforms-4874-field_3-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-4874-field_3\">Horse name: <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4874-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" required><\/div><div id=\"wpforms-4874-field_4-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"4\"><div id=\"wpforms-4874-field_4\" class=\"wpforms-field-medium wpforms-field-row\"><h4>VACCINATION<\/h4>\n<p><strong>Important:<\/strong> all elective (non-emergency) appointments require a booster vaccination (or primary vaccination) against Influenza and Herpesvirus that is less than 6 months old (and more than 7 days old).<\/p>\n<p><strong>FOR ELECTIVE APPOINTMENTS:<\/strong><\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-4874-field_5-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"5\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4874-field_6-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-4874-field_6\">1. Influenza - Vaccine name:<\/label><input type=\"text\" id=\"wpforms-4874-field_6\" class=\"wpforms-field-medium\" name=\"wpforms[fields][6]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4874-field_7-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-4874-field_7\">1. Date of last vaccination<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-4874-field_7\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][7][date]\" ><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4874-field_9-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-4874-field_9\">2. Herpesvirus 1.4 - Vaccine name: <\/label><input type=\"text\" id=\"wpforms-4874-field_9\" class=\"wpforms-field-medium\" name=\"wpforms[fields][9]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4874-field_8-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-4874-field_8\">2. Date of last vaccination <\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-4874-field_8\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][8][date]\" ><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-4874-field_10-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"10\"><div id=\"wpforms-4874-field_10\" class=\"wpforms-field-medium wpforms-field-row\"><p><strong>OTHER INFECTIOUS DISEASES<br \/>\n<\/strong>(For medical record)<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-4874-field_12-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"12\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4874-field_13-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-4874-field_13\">3. West Nile Virus - Vaccine name:  <\/label><input type=\"text\" id=\"wpforms-4874-field_13\" class=\"wpforms-field-medium\" name=\"wpforms[fields][13]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4874-field_14-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-4874-field_14\">3. Date of last vaccination <\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-4874-field_14\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][14][date]\" ><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4874-field_15-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-4874-field_15\">4. Eastern and western equine encephalitis - Vaccine name:  <\/label><input type=\"text\" id=\"wpforms-4874-field_15\" class=\"wpforms-field-medium\" name=\"wpforms[fields][15]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4874-field_16-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-4874-field_16\">4. Date of last vaccination  <\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-4874-field_16\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][16][date]\" ><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4874-field_17-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-4874-field_17\">5. Tetanus - Vaccine name:  <\/label><input type=\"text\" id=\"wpforms-4874-field_17\" class=\"wpforms-field-medium\" name=\"wpforms[fields][17]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4874-field_18-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-4874-field_18\">5. Date of last vaccination <\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-4874-field_18\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][18][date]\" ><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4874-field_19-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-4874-field_19\">6. Rabies - Vaccine name:   <\/label><input type=\"text\" id=\"wpforms-4874-field_19\" class=\"wpforms-field-medium\" name=\"wpforms[fields][19]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4874-field_20-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-4874-field_20\">6. Date of last vaccination <\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-4874-field_20\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][20][date]\" ><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4874-field_21-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-4874-field_21\">7. Strangles - Vaccine name:   <\/label><input type=\"text\" id=\"wpforms-4874-field_21\" class=\"wpforms-field-medium\" name=\"wpforms[fields][21]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4874-field_22-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-4874-field_22\">7. Date of last vaccination  <\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-4874-field_22\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][22][date]\" ><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4874-field_23-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-4874-field_23\">8. Botulinum - Vaccine name:   <\/label><input type=\"text\" id=\"wpforms-4874-field_23\" class=\"wpforms-field-medium\" name=\"wpforms[fields][23]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4874-field_24-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"24\"><label class=\"wpforms-field-label\" for=\"wpforms-4874-field_24\">8. Date of last vaccination  <\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-4874-field_24\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][24][date]\" ><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4874-field_25-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"25\"><label class=\"wpforms-field-label\" for=\"wpforms-4874-field_25\">9. Potomac horse fever - Vaccine name:    <\/label><input type=\"text\" id=\"wpforms-4874-field_25\" class=\"wpforms-field-medium\" name=\"wpforms[fields][25]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4874-field_26-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"26\"><label class=\"wpforms-field-label\" for=\"wpforms-4874-field_26\">9. Date of last vaccination  <\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-4874-field_26\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][26][date]\" ><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-4874-field_28-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"28\"><div id=\"wpforms-4874-field_28\" class=\"wpforms-field-medium wpforms-field-row\"><h4>GENERAL HISTORY (BIOSECURITY)<\/h4>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-4874-field_29-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"29\"><label class=\"wpforms-field-label\">Have the horses in the stable shown any signs of respiratory illness, fever or diarrhea during the past 2 weeks? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-4874-field_29\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-4874-field_29_1\" name=\"wpforms[fields][29][]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4874-field_29_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-4874-field_29_2\" name=\"wpforms[fields][29][]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4874-field_29_2\">No<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-4874-field_29_3\" name=\"wpforms[fields][29][]\" value=\"Unknown\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4874-field_29_3\">Unknown<\/label><\/li><\/ul><\/div><div id=\"wpforms-4874-field_30-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"30\"><label class=\"wpforms-field-label\" for=\"wpforms-4874-field_30\">If yes, date of the last signs:<\/label><input type=\"text\" id=\"wpforms-4874-field_30\" class=\"wpforms-field-medium\" name=\"wpforms[fields][30]\" ><\/div><div id=\"wpforms-4874-field_31-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"31\"><label class=\"wpforms-field-label\">Have the horses in the stable shown any signs of respiratory illness, fever or diarrhea during the past 2 weeks? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-4874-field_31\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-4874-field_31_1\" name=\"wpforms[fields][31][]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4874-field_31_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-4874-field_31_2\" name=\"wpforms[fields][31][]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4874-field_31_2\">No<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-4874-field_31_3\" name=\"wpforms[fields][31][]\" value=\"Unknown\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4874-field_31_3\">Unknown<\/label><\/li><\/ul><\/div><div id=\"wpforms-4874-field_32-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"32\"><label class=\"wpforms-field-label\" for=\"wpforms-4874-field_32\">If yes, date of the last signs: <\/label><input type=\"text\" id=\"wpforms-4874-field_32\" class=\"wpforms-field-medium\" name=\"wpforms[fields][32]\" ><\/div><div id=\"wpforms-4874-field_33-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"33\"><label class=\"wpforms-field-label\">I confirm that the information is correct.<\/label><ul id=\"wpforms-4874-field_33\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-4874-field_33_1\" name=\"wpforms[fields][33][]\" value=\"Yes\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4874-field_33_1\">Yes<\/label><\/li><\/ul><\/div><div id=\"wpforms-4874-field_34-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"34\"><label class=\"wpforms-field-label\" for=\"wpforms-4874-field_34\">Your name (veterinarian):  <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4874-field_34\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][34]\" required><\/div>\t\t<div id=\"wpforms-4874-field_11-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"11\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-4874-field_11\" >  -<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-4874-field_11\" class=\"wpforms-field-medium\" name=\"wpforms[fields][11]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-4874-field_35-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"35\"><label class=\"wpforms-field-label\" for=\"wpforms-4874-field_35\">Your email (a copy of this certificate will be sent to you): <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-4874-field_35\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][35]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-4874-field_27-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"27\"><label class=\"wpforms-field-label\" for=\"wpforms-4874-field_27\">Other relevant informations:<\/label><textarea id=\"wpforms-4874-field_27\" class=\"wpforms-field-medium\" name=\"wpforms[fields][27]\" ><\/textarea><\/div><div id=\"wpforms-4874-field_36-container\" class=\"wpforms-field wpforms-field-signature\" data-field-id=\"36\"><label class=\"wpforms-field-label\" for=\"wpforms-4874-field_36\">Signature<\/label><input type=\"text\" id=\"wpforms-4874-field_36\" class=\"wpforms-signature-input wpforms-screen-reader-element\" data-is-wrapped-field=\"1\" name=\"wpforms[fields][36]\" autocomplete=\"off\" inputmode=\"none\" ><div class=\"wpforms-signature-wrap wpforms-field-row wpforms-field-large\"><canvas class=\"wpforms-signature-canvas\" id=\"wpforms-4874-field_36-signature\" data-color=\"#000000\"><\/canvas><div class=\"wpforms-signature-clear\" title=\"Clear Signature\" tabindex=\"0\">\n\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"1em\" height=\"1em\" preserveAspectRatio=\"xMidYMid meet\" viewBox=\"0 0 1536 1536\">\n\t\t\t\t\t<path fill=\"var( --wpforms-field-text-color, rgba(0, 0, 0, 0.25) )\" d=\"M1149 994q0-26-19-45L949 768l181-181q19-19 19-45q0-27-19-46l-90-90q-19-19-46-19q-26 0-45 19L768 587L587 406q-19-19-45-19q-27 0-46 19l-90 90q-19 19-19 46q0 26 19 45l181 181l-181 181q-19 19-19 45q0 27 19 46l90 90q19 19 46 19q26 0 45-19l181-181l181 181q19 19 45 19q27 0 46-19l90-90q19-19 19-46zm387-226q0 209-103 385.5T1153.5 1433T768 1536t-385.5-103T103 1153.5T0 768t103-385.5T382.5 103T768 0t385.5 103T1433 382.5T1536 768z\"\/>\n\t\t\t\t<\/svg>\n\t\t\t\t<div class=\"wpforms-signature-clear-caption\">Clear Signature<\/div>\n\t\t\t<\/div><\/div><\/div><script>\n\t\t\t\t( function() {\n\t\t\t\t\tconst style = document.createElement( 'style' );\n\t\t\t\t\tstyle.appendChild( document.createTextNode( '#wpforms-4874-field_11-container { position: absolute !important; overflow: hidden !important; display: inline !important; height: 1px !important; width: 1px !important; z-index: -1000 !important; padding: 0 !important; } #wpforms-4874-field_11-container input { visibility: hidden; } #wpforms-conversational-form-page #wpforms-4874-field_11-container label { counter-increment: none; }' ) );\n\t\t\t\t\tdocument.head.appendChild( style );\n\t\t\t\t\tdocument.currentScript?.remove();\n\t\t\t\t} )();\n\t\t\t<\/script><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"4874\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/chuv.umontreal.ca\/english\/wp-json\/wp\/v2\/pages\/3304\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-4874\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/chuv.umontreal.ca\/english\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->[\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_column_text css=&#8221;&#8221;]This certificate must be completed by a veterinarian.[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n","protected":false},"author":5,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-3304","page","type-page","status-publish","hentry","description-off"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Equine Preadmission Certificate - Internet English<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/chuv.umontreal.ca\/english\/equine-preadmission-certificate\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta 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