New Client Booking Form | Phantom Petrissage

First name

Last name

Email

Phone

Address

Horses Name

Address (Horse yard)

Horse Gender

Mare

Gelding

Stallion

If Mare is she in foal or had a foal recently?

Breed

Horses Age

Height in hands

Current workload (Box/light/moderate/Competition)

Veterinary practice horse is registered to?

Known Injuries, Surgeries, or Chronic Conditions: (e.g., Kissing spines, arthritis, suspensory tears)

Is your horse currently being treated by your Vet? (Vet consent form may be needed.)

Is your horse currently unwell? ( Vet consent form may be needed.)

Last Farrier visit date?

Last saddle fit date?

Last dental visit date?

Social/Routine (Turnout/stable time)

Does your horse have any vices? (Crib/Box walk/Weave)

Please state what tack your horse uses (saddle/bridle/driving harness)

Please state concerns, if any as to why you would like the horse treated. (Maintenance/rehab etc)

Temperament: (e.g., High-energy, anxious, easy-going)

Handling Preferences: Are there areas on the body where the horse is reactive, head-shy, or objects to being touched?

Has the horse ever received professional bodywork before? If yes, what type and when?

Describe any specific movement or performance issues (e.g., wrong lead, hollow back):

Veterinary Disclaimer: I understand that equine massage therapy is intended to promote relaxation, improve circulation, and relieve muscle tension. It is not a substitute for professional veterinary medical care, diagnosis, or treatment.