Kivu (Thoroughbred) Virtual Consultation
*This form provides the first step in the initial consultation and will be followed up with a phone call and a review of video and photo material.
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Horse’s Barn & Jockey Club Name
Gender
Mare
Gelding
Stallion
Breed
Age
What are your goals with this horse for this year and in general?
What is going well with your horse and their progress?
Describe the current boarding / stabling situation for your horse
What is their current feed program?
What are your concerns- heath, soundness, riding or on the ground?
What have you tried to resolve the concern(s)?
Do you have a trainer? If so, what have they suggested?
How do you hope that a virtual consultation can help?
Please upload recent photo from side without tack
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Please upload a recent photo with tack
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Vet Records or Radiographs as relevant
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Please upload any other files or photos that you feel may be helpful
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Additional file
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Short video can be texted directly to Aubrey at 404-509-4655
Longer video may be emailed to aubreygraham@gmail.com
Payment due with form
Options include: Venmo Aubrey-Graham-13 Zelle or Paypal (aubreygraham@gmail.com) *all options require friends and family transfer. Business transfers will be bounced back due to high fees.
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