equine assessment

Has your vet seen your horse for this problem? *

Yes No

If any diagnostic tests have been performed please list below wth results *

Did you have a pre-purchase exam when you bought your horse? *

Yes No

What do you do with your horse? *

Does your horse compete? *

Yes No

What are your 6-month and longer-term goals for your horse? *

Reason for consult? *

Select One *

What saddle do you ride in and has it been fitted to the horse? If yes when was it last fitted? *

If yes, was there anything of significance found? *

What level are you training at home? *

If yes, at what level? *

Please provide some detail about why you have contacted us for a consultation and any relevant past history of your horse *

Describe your horse's diet, including any supplements *

When was your horse last seen by the dentist? Does it have a history of any dental problems? *

Is your horse shod or barefoot? Please describe any therapeutic hoof care it receives *

Is your horse currently being seen by any other practitioners? If so could you tell us a little about the treatment it has had / is receiving *

If you have any vet reports/scans, video or photos of the horse you'd like us to view before your consultation, please upload them below. *

Max file size: 20MB

I declare that I am the legal owner or have the horse in my care with permission from the legal owner for the animal named above, and that all information on this form is correct. I give consent for my vet to disclose any information necessary to Equimotion. *

I agree

equine assessment form