Transition Assessment Application Form

Owner Details

Full Name

Email Address

Phone Number

Address

Town / City

Region

Preferred Contact Method

Horse Details

Stable Name

Racing Name

Age

Sex

Height

Colour

Microchip Number, if known

Current Location of Horse

How long have you owned the horse?

Why are you applying for a Transition Assessment?

Please explain your current situation.

How urgently do you require assistance?

Please explain any time-sensitive concerns.

Horse History

When did the horse last race?

Current workload

in full work light work out of work

Current discipline, if applicable

Previous homes, if known

Known medical history

Known injuries or surgeries

Current medications

Previous veterinary findings

Last dental date

Current farrier schedule

4-5 weeks 6-8 weeks 8+ weeks

Current shoeing status

Current Management

Current feeding programme

Grazing / living situation

Does the horse live alone or with companions?

Yes With Horse Company With Other Animals No Company

Access to shelter

Current body condition, if known

Any current welfare concerns?

Any recent changes in condition, behaviour or soundness?

Behavior & Handling

Please describe any behavioural concerns or management notes.

Assessment Location

Where would you like the assessment completed?

Options:

Please provide any access or facility details.

Photos & Videos

Recent Left Hand Side Of The Horse

Recent Right Hand Side Of The Horse

Recent Front On Of The Horse

Recent Hoof Photo

Dental Records

Veterinary Records

Funding & Future Pathway

If rehabilitation or further care is recommended, are you able to contribute financially?

Are you happy for PinOaks to discuss this case with NZTR or another relevant welfare / funding organisation if appropriate?

Desired Outcome

What would a successful outcome look like for you and your horse?

Declaration

I confirm that the information provided is true and correct to the best of my knowledge. I understand that submitting this form does not guarantee acceptance into any PinOaks service or programme. I understand that a PinOaks Transition Assessment fee applies before an assessment is booked. I understand that a Transition Assessment is an independent professional opinion based on the horse's presentation and information available at the time of assessment. Recommendations are not a guarantee of future soundness, behaviour or suitability. I have read and agree to the PinOaks Park Terms & Conditions and Privacy Policy

PinOaks Transition Assessment Application