Equine Follow-Up Form

Please fill out and submit this form at least 48 hours prior to your appointment. The information you provide is held as private and will not be shared without your expressed permission.
  • Contact Information

    Please update your phone or email information if necessary. Thank you.
  • Previous Session Results

    Please tell me about any significant improvements you have seen in your horse as a result of our last session.
  • These would be improvements you directly attribute to the last healing session.
  • Current Condition:

    Any health issues this animal has presently. Only the fields marked with a red asterisk are required.
  • Be sure to distinguish any new health issues that have presented since our last session.
  • If yes, please specify if a single or a combination vaccine and administration date.
  • Please list any medications your animal is currently taking: dosage; start and end dates of meds; and why.
  • Lifestyle and Management

    Please indicate if there have been changes - only the fields marked with a red asterisk are required.
  • Healing Session Focus

    Please take the neccessary time to consider the following question.
  • Please include changes you would like to see in your relationship with your horse, as well. Thank you.