EHS Colic Warranty Registration

Thank you for purchasing Equiflavin from Equine Health Solutions (EHS). To activate your $10,000 colic surgery warranty, complete the appropriate online registration form below within 15 days of purchase. This warranty is backed by Hartwell Insurance in Nashville, Tennessee.

Please note:

• Your horse must not have had colic surgery in the previous 365 days to qualify for standard enrollment.

• You must administer two 5ml doses of Equiflavin weekly.

• In the event of colic, administer at least 10ml of Equiflavin immediately.

• Annual usage requires approximately 520ml per horse.

• If your horse has had colic surgery within the past year, use the Exception Review Form.

Standard Registration Form

This form is for horses without colic surgery in the past 365 days.

Full Name

First Name *

Last Name *

Address

Email *

Phone Number

Contact information

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Veterinarian Name:

Vet Name

Veterinarian Clinic:

Clinic

Veterinarian Phone:

Vet Phone

Horse Information

Horse Name:

Horse Name

Breed:

Breed

Age (in years):

Age

Gender:

Mare
Stud
Gelding

Microchip or Registration Number (optional):

Microchip

Date of Last Veterinary Exam:

Date

Has the horse received annual wellness care?

Purchase and Protocol Confirmation

Equiflavin Purchase Date:

Purchase Date

Proof of Purchase (PDF/JPG, max 5MB):

Choose file or drag here

Supported format: JPG, JPEG, PNG, GIF, SVG.

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Purchase Quantity (in ml):

Quantity

Subscription Active?

Consent

I certify that I will administer two 5ml doses of Equiflavin weekly and at least 10ml during any colic episode.
I confirm the horse has no history of colic surgery in the past 365 days.

Additional Notes:

Additional Notes

Thanks for getting in touch!

We appreciate you contacting us. One of our colleagues will get back in touch with you soon!

Have a great day!

Thanks for getting in touch!

We appreciate you contacting us. One of our colleagues will get back in touch with you soon!

Have a great day!

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Country/Region

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