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Veterinarian Forms

    Bleeder Certification-Salix Declaration

    Select as applicable below, provide required information and submit as required to the Tampa Bay Downs Salix Coordinator.


    Location of Track or Farm

    Date EIPH Occurred

    and it is requested that the horse be placed on the Tampa Bay Downs Salix List.

    When utilized as a Bleeder’s Certificate, this completed form must be submitted to the Tampa Bay Downs Salix Coordinator within 10 days of the EIPH incident.


    The trainer of record and attending veterinarian for the horse identified above attest that it has been determined that it is in the best interest of the horse to place it on the Tampa Bay Downs Salix List in the absence of signs of EIPH, and to race the horse with Salix administered by a licensed veterinarian, contracted by Tampa Bay Downs, no later than four (4) hours prior to post time of the race in which the horse is entered.

    The trainer of record understands that the administration of Salix may NOT be discontinued without first:

    • Providing written verification from the attending veterinarian that it is in the best interest of the horse listed above to discontinue the use of Salix and
    • Completing and submitting the required Tampa Bay Downs form, Request to Discontinue Salix, to the Tampa Bay Downs Salix coordinator no later than 48 hours prior to racing the horse listed above without Salix. This notification must be submitted to the Tampa Bay Downs Salix Coordinator prior to entry of the horse listed above in a scheduled pari-mutuel race.

    This notification must be submitted to the Tampa Bay Downs Salix Coordinator prior to entry of the horse listed above in a scheduled pari-mutuel race.

    The trainer of record and attending veterinarian for the horse identified above attest that it has been determined that it is in the best interest of the horse to remove it from the Tampa Bay Downs Salix List. The horse must remain off Salix for at least sixty (60) days unless it exhibits signs of EIPH.

    The completed form must be submitted to the Tampa Bay Downs Salix Coordinator no later than 48 hours prior to the scheduled post time of the race the horse is entered to run when utilized as a Declaration to Administer Salix, or as a Declaration to Discontinue Salix as applicable.