New Client Form

This form is required for any service provided by Jessica Parker/Resilient Equine, including whole horse consulting, equine bodywork, and body or hoof analysis.
If you have more than one horse that is being seen, please fill out a separate questionnaire for them.
Feel free to be as detailed as you like, the only required fields are the contact information, emergency information, consent box and e-signature.

Owners Name

First Name

Last Name

Owners Phone

(###)

###

####

Email

Boarding Facility & Address

Horse Name

Horse Age

Horse Health, Wellness and Medical History

Reason for Booking

Average Shoe/Trim Cycle, Hoof Concerns or Lameness Issues

How often is your horse shod/trimmed?

Approximate Date of Last Dental

Emergency Contact Information

Please include emergency contact information for you, the boarding facility, your vet and farrier.

Current Feeding Regimen

Optional: Briefly describe your horses current feeding program (including forage, grain, supplements).

Preferred Day/Time for Appt

Currently booking late afternoon, evening and weekend appointments.

Consent to Treatment

I understand that bodywork is never to serve as a replacement for proper veterinary care. I understand that my practitioner will never diagnose conditions or prescribe medications or supplements for my horse. If my horse is currently being seen by a veterinarian for the recovery of an illness or injury, I have cleared this work with him/her to ensure that bodywork is at this time appropriate for my horse. I hereby waive Jessica Parker (Resilient Equine) from any and all claims of any nature and will not hold her accountable for any changes that could present after the treatment of my horse.

Yes

E-Signature

Prior to your appointment

Please have your horses belly full, coat brushed & feet picked prior to our appointment. If your horse has been in a stall, or is going back into their stall after our session, hand walking is recommended as it can be incredibly beneficial before and after bodywork. View our FAQ for more information regarding your horses appointment and what to expect.

CancelLATION POLICY

Please cancel your appointment if there is anything off with your horse including a very recent colic, any signs of lameness, an emergency or other change in the horses health.
Appointments that are cancelled within 24 hours of session are subject to the full session fee.