Initial History Form

Initial History Form
Name of horse owner*

First NameLast Name
Email*
Phone Number

Area CodePhone Number
Preferred Method of Contact

EmailCallText
Equine Information
Name of Horse
Sex*
Breed:
Height*
Location of Horse:
How long have you owned this horse?
Discipline:
Does your horse have any personality traits or vices? (kicking, biting, girthy?)
Health Information and Medical History
Veterinarian:
Farrier:
Chiropractor:
Trainer:
Saddle Fitter:
Is your horse on any current medications?
When was the horse last vaccinated and dewormed?
When were the teeth done last?
Any previous injuries, pathologies or health issues I should know about?
Training & Conditioning
What does your normal week look like for exercise (Jumping, Flat work Ect...)
What are your goals for this horse?
Are there any areas of concern?
Should be Empty:

Equine Information