Great American Insurance

Stallion Breeding Soundness Exam
Stallion Name_________________Age_____Breed________Color_________
Physical Breeding Condition________________________________________
External Genital Examination: Method(s) Used__Palpation__Ultrasound__Other_______
YES    NO
Testicles of normal dimension and consistency and fully descended into scrotom? ____   ____
Penis and prepuce appear normal and free of any sores, infection, tumors or injury? ____   ____
Detail any abnormal findings:______________________________________
Breeding Method:___Artificial Insemination___Live Cover___Both   *Pasture Breeding? Y/N
*(Note: ASD Coverage not available on pasture breeding stallions without prior company approval.)
Behavior and Breeding Ability: Rate on a scale of 1 to 5. 1 being excellent and 5 being poor
Temperament/Ease of Handling:__________ Libido__________________
Erection:___________________________ Mounting:________________
Intromission:________________________ Ejaculation:_______________
Detail any abnormal findings or poor scores:__________________________
Has a Semen Evaluation been done? ______If so, attach summary report of findings.
Has the stallion received any drugs, nsaids, or anabolic or other steroids in the past year? If yes, please explain:
_______________________________________________________________________________

Any comments or concerns?:________________________________________________
_______________________________________________________________________________
_________________________________________
Signature of Veterinarian
____________________
Date of Exam
_________________________________________
Address
____________________
Phone Number
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