Client/Farm Name *
Primary Contacts *
Email *
How many total head?
Breed(s)
Do you retain your calves or purchase from outside sources, if so, where?
What are your goals with your herd?
Which animals are tested?
Do you test annually, or only new animals?
Status/results
Do you sell raw milk?
Are you certified? Which state?
When does your annual permit expire?
Herd/cow testing status
Do you sell live animals? Direct from property or through livestock auction?
Do you sell beef?
Which animals are processed and at what age?
Do you breed AI or with a bull (owned/leased)?
Are you heat based or use a sync protocol?
Who does your AI?
When do you trich test?
Are your bulls semen tested at purchase or annually?
When do you breed?
When do you calve?
Would you like to change either of these?
Last time vaccines were administered?
Using the examples above, which groups receive a viral vaccine, which product, and WHEN?
Using the examples above, which groups receive a clostridial vaccine, which product, and WHEN?
Using the examples above, which groups receive a scour vaccine, which product, and WHEN?
Does this protocol change or stay the same annually?
Vaccine *
Antibiotic *
Other *
How many acres do you use for animals:
Do you have one large communal pasture, or graze in rotation?
Do you have a drylot or feed ground/sacrifice area:
What part of the year is this used?
Type of hay
Which animals
Quantity per animal
Type of grain fed
Which animals
Quantity per animal
Is mineral free choice or included in the ration:
Does your farm implement any biosecurity protocols in regards to new additions or sick animals? (do you have a sick pen, isolation area, separate equipment for new/sick animals, how long is your quarantine period, do you do any herd health testing):
What product(s) do you use? Please include time of year used, and to which groups of animals
How many head total?
Breed(s)
Rams
Do you retain your lambs or purchase from outside sources, if so, where?
What are your goals with your herd?
Which animals are tested? *
Do you test annually, or only new animals? *
Status/results: *
Do you sell raw milk?
Are you certified? Which state?
When does your annual permit expire?
Herd/ewe testing status
Do you sell live animals? Direct from property or through livestock auction?
Do you sell lamb?
Which animals are processed and at what age?
Are you heat based or use a sync protocol?
Who does your AI?
Do you test prior to breeding? (Brucella, Johnes, Caseous Lymphadenitis, Ovine Progressive Pnuemonia)
Are your rams semen tested at purchase or annually?
When do you breed?
When do you lamb?
Would you like to change either of these?
Using the examples above, which groups receive a viral vaccine, which product, and WHEN?
Using the examples above, which groups receive a clostridial vaccine, which product, and WHEN?
Does this protocol change or stay the same annually?
Vaccine *
Antibiotic *
Other *
Do you have a drylot or feed ground/sacrifice area:
What part of the year is this used?
Type of hay
Which animals
Quantity per animal
Type of grain fed
Which animals
Quantity per animal
Is mineral free choice or included in the ration
What product(s) do you use? Please include time of year used, and to which groups of animals
How many total head?
Breed(s)
Do you retain your kids or purchase from outside sources, if so, where?
What are your goals with your herd?
Which animals are tested?
Do you test annually, or only new animals?
Status/results
Do you sell raw milk?
Are you certified? Which state?
When does your annual permit expire?
Herd/doe testing status
Do you sell live animals? Direct from property or thru livestock auction?
Do you sell meat?
Which animals are processed and at what age?
Do you breed AI or with a buck (owned/leased)?
Are you heat based or use a sync protocol?
Who does your AI?
When do you breed?
When do you kid?
Would you like to change either of these?
Using the examples above, which groups receive a viral vaccine, which product, and WHEN?
Using the examples above, which groups receive a clostridial vaccine, which product, and WHEN?
Does this protocol change or stay the same annually?
Vaccine *
Antibiotic *
Other *
Do you have a drylot or feed ground/sacrifice area:
What part of the year is this used?
Type of hay
Which animals
Quantity per animal
Type of grain fed
Which animals
Quantity per animal
of Vaccine How
Is mineral free choice or included in the ration
What product(s) do you use? Please include time of year used, and to which groups of animals
How many total head?
Breed(s)
Do you retain your pigs or purchase from outside sources, if so, where?
What are your goals with your herd?
Which animals are tested?
Do you test annually, or only new animals?
Status/results
Do you sell live animals? Direct from property or thru livestock auction?
Do you sell pork?
Which animals are processed and at what age?
Do you breed AI or with a boar (owned/leased)?
AI breeders – Are you heat based or use a sync protocol?
Who does your AI?
Do you test your boars for disease?
Are your boars semen tested at purchase or annually?
When do you breed?
When do you farrow?
Would you like to change either of these?
Using the examples above, which groups receive a vaccine, which product, and WHEN?
Does this protocol change or stay the same annually?
Vaccine *
Antibiotic *
Other *
Do you have a drylot or feed ground/sacrifice area
What part of the year is this used?
Type of hay
Which animals
Quantity per animal
Type of grain fed
Which animals
Quantity per animal
Is mineral free choice or included in the ration
What other foods/things do you feed your hogs
What product(s) do you use? Please include time of year used, and to which groups of animals