MC KIDD
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Home
About MC
Services
Services
Pricing
Payment
Local Appointments
Benefits of Therapy
Forms
Client Intake Online Form
Equine and Canine Client Consent Form
Resources
Educational Photos
Feet of Concern
Unbalanced Bodies
Videos
Interviews with horse experts
Contact
Client Intake Form
*
Indicates required field
Name
*
First
Last
Date
*
Email
*
Phone Number
*
Horse Name
*
Veterinarian Name
*
Vet Phone Number
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Farrier Name
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Farrier Phone Number
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Brief description of horse's issues and your goals for contacting MC
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Age of Horse
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Breed of Horse
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How long have you been with the horse?
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Symptoms
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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
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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
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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.
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