New Client Registration Form

If you are a new client please fill out this form providing details for you and your horse. Please note by filling out and submitting this form, you confirm all details are correct and accurate, agree to the terms of business and consent to Lauren contacting the veterinary practice if consent to treat your horse is required

Name

First Name

Last Name

Phone

(###)

###

####

Message

Home Address

Yard Address

Horse Info

Name, Age, Sex

Veterinary Practice

Reason for Treatment and any relevant medical history (past and current)

Preferred means of contact

Phone

I have read and accepted the terms and conditions

Declaration

I confirm all the information above is correct and give consent to LS Equisports Therapy to treat my horse in accordance with their professional judgement

Agree

Veterinary Consent Form

If I have contacted you to obtain veterinary consent to treat a patient under your care, please fill out the form below

Veterinary Practice Name

Phone

(###)

###

####

Address

Registered Horse Name and Owners Surname

Treatment Forms

I would like to receive treatment forms only if regression is seen

I would like to receive treatment forms after every session

I give consent for the above animal to receive treatment from LS Equisports Therapy