Form VR1A "Veterinary Treatment Record Form" - New York

What Is Form VR1A?

This is a legal form that was released by the New York State Gaming Commission - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on September 1, 2020;
  • The latest edition provided by the New York State Gaming Commission;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form VR1A by clicking the link below or browse more documents and templates provided by the New York State Gaming Commission.

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Download Form VR1A "Veterinary Treatment Record Form" - New York

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Veterinary Treatment Record Form VR1A
Use of this Form is recommended to assure compliance
with Commission Rules 4012.4 and 4120.9
 
Veterinarian
Return form to:
Telephone: 518-388-3400
N.Y.S. Gaming Commission
Trainer/Client
Facsimile:
518-388-3403
One Broadway Center
Schenectady, N.Y. 12305
Horse
Email:
info@gaming.ny.gov
Date
Time
Diagnosis
Treatment: Drug Administered, Dose & Route of Transmission
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
All entries must be complete and legible. Incomplete or illegible records will not be accepted.
V1 09/01/20
Veterinary Treatment Record Form VR1A
Use of this Form is recommended to assure compliance
with Commission Rules 4012.4 and 4120.9
 
Veterinarian
Return form to:
Telephone: 518-388-3400
N.Y.S. Gaming Commission
Trainer/Client
Facsimile:
518-388-3403
One Broadway Center
Schenectady, N.Y. 12305
Horse
Email:
info@gaming.ny.gov
Date
Time
Diagnosis
Treatment: Drug Administered, Dose & Route of Transmission
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
All entries must be complete and legible. Incomplete or illegible records will not be accepted.
V1 09/01/20