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 InformationPlease update your phone or email information if necessary. Thank you.Name* First Last Name of Equine* Primary PhoneEmail Previous Session ResultsPlease tell me about any significant improvements you have seen in your horse as a result of our last session. Please describe any changes you have seen as a result of our last session: physical, emotional, mental and behavioral.*Please explain any improvements you have had in your relationship with your horse.*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.Please describe your equine's current health condition.*Be sure to distinguish any new health issues that have presented since our last session.Any new behavioral problems?Any vaccinations since our last session?If yes, please specify if a single or a combination vaccine and administration date.Any change in Veterinary Diagnosis?Current MedicationsPlease list any medications your animal is currently taking: dosage; start and end dates of meds; and why. Lifestyle and ManagementPlease indicate if there have been changes - only the fields marked with a red asterisk are required.Any changes in daily diet or supplements since our last session?Any significant changes in turn out, exercise or lifestyle?Any changes in hoof care or shoeing?Healing Session FocusPlease take the neccessary time to consider the following question.What changes would you like to see in your horse as a result of the healing session?*Please include changes you would like to see in your relationship with your horse, as well. Thank you.