New Client & Horse Information-Kentucky Blue Equine

New Client & Horse Information

Please fill out this form as best you can so we can provide you with the most relevant service.

First Name

Last Name

Phone Number

Preferred Method of Contact?

Phone (text)

Both

Preferred method of payment

cash

check

venmo

card

Horse(s) Name

Horse(s) Breed, Sex & Age if known

Please list any short or long term health issues, injuries, performance and/or behavioral issues:

How long have you owned the horse(s)

What discipline is your Horse(s) used for

Other than your veterinarian, has your horse been in the care of any other healthcare professional such as a chiropractor, acupuncturist, body worker, etc.? If so, when?

Is this session intended as part of your horse's general well being, or do you have specific concerns you would like to address. Please be specific:

Did I miss anything? Please feel free to add additional comments or anything I may need to know!

Please read our cancellation policy and check that you have read the paragraph by clicking the check box next to "I AGREE" in the next field :

24-hours notice is required on all cancellations. As a courtesy, and because emergencies are understood, in situations where less than 24-hours’ notice can be provided, you may re-book the appointment(s) to avoid assessment of a $35 cancellation fee. Kentucky Blue Equine reserves the right to assess a cancellation fee in cases where multiple cancellations occur with less than 24-hours notice.

Cancellation/Reschedule Policy

I Accept