Intake Form

Horse Information

Please look through the following questionnaire prior to your initial session.
Any information that you share about your horse helps me to provide better care.

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Thank you for your response. ✨

Name *human and horse

Phone

What is your main goal for equine bodywork?

Is your horse currently under veterinary care for an injury or illness? If so, has that vet cleared them for bodywork?

Any long- or short-term health, injury, or behavioral concerns?

Other than your vet, is your horse under the care of any other equine healthcare professional(s), such as an acupuncturist, chiropractor, cranial-sacral, other bodyworker, etc.?

What is your horse’s current training or conditioning program, and by how many people is s/he ridden?

What is the horse’s current feeding program (including medications, nutraceuticals, and/or supplements)?

Please describe your horse’s living situation (stall, turnout- how many hours, group or solo, etc.).

Who is your farrier and how often does s/he work on your horse?

When was your appointment with a qualified saddle fitter?

Any other pertinent information I need to know (history/change in saddle used/lameness/areas of tension or strong behavioral reactions?

Horse Information

Thank you for your response. ✨

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