Mc Kidd | El Dorado County & Sacramento Equine Bodywork Consulting & Services

Client Intake Form

* Indicates required field

Name *

First

Last

Date *

Email *

Phone Number *

Horse Name *

Veterinarian Name *

Vet Phone Number *

Farrier Name *

Farrier Phone Number *

Brief description of horse's issues and your goals for contacting MC *

Age of Horse *

Breed of Horse *

How long have you been with the horse? *

Symptoms *

Function/mobility problems, veterinarian diagnosed lameness, excessive body order, thrush, hair coat concerns, can't pick up lead, dropping out, muscle trembling, tail swishing during movement, tail to one side, muscle atrophy, hollow back, odd shaped body, camped out, excessive sweating, lack of vitality in eye, other eye concerns, excessive fatigue.

Behavior *

Excessive excitability, constant loud nervous neighing, bucking, biting, kicking, bolting, easily startled, won't allow head touched, won't pick up lead.

Use of Horse *

Trail riding, gymkhana, drill team, vaulting, jumping, hunt seat, eventing, dressage, cutting, cattle, sorting, gathering cattle, roping, reining, halter, western pleasure, side saddle, lesson horse, police mount, mounted shooting, mounted archery, pet horse, non-use, other.

Submit

NOTE: MC is not a veterinarian and does not provide veterinary diagnoses or veterinary treatment recommendations; because of this, MC assumes that you have already had your horse assessed by a veterinarian to address and rule out any veterinary concerns first and also to approve your desire for a multidimensional approach to your horses care. Furthermore, if MC feels it’s critical that your horse to be assessed by a veterinary professional at any point during her counseling, she will absolutely, without question recommend that you do so.

Client intake form

Client Intake Form