Intake form

Name *

Email address *

Phone number

Horse's name

Horse's age

Horse's breed

What services are you interested in?

Please select at least one option.

Horse massage

Cold laser/red light therapy

Decompression

Core strengthening

Myofascial release

Any specific areas of concern for your horse?

Is your horse currently receiving any veterinary care?

If yes, please provide details about the veterinary care.

Additional comments or questions

Which service or services are you interested in?

Please select at least one option.

Horse massage

Cold Laser/Red light therapy

Decompression therapy

Core strengthening

Myofascial release

Additional questions or comments

Horse's weight

Horse's medical history

Horse's feeding regimen

Preferred appointment date and time

How did you hear about us?

Have you used equine bodywork services before?

If yes, please provide details about previous services used.

Banked on Balance