Information Forms

Please use this page to provide me with your contact details and all relevant information regarding your horse(s).¬†After completing the requested information, I would ask that you take a few minutes to read the article entitled “What to Expect from a Consultation” so you are aware of how I work.

Complete this section once for all horses owned or cared for by yourself, then click the button labeled “Submit Owner Record”

    Owner/Carer Information

    Name

    Address

    Your Email

    Home phone number

    Mobile phone number

    Vet Practice

    I understand that photographic records will be taken of my horse and his/her hooves in order to monitor progress/changes over time
    Yes

    I am aware that these images may be used for case studies, teaching and promotional purposes and give my consent for them to be used for these purposes - photos showing myself or my family will not be used without my additional consent
    YesNo

    Please submit the owner/carer information before proceeding to the horse information

    Complete this section for each horse owned or cared for by yourself, click the button labeled “Submit Horse Record” after filling in each horse’s details

      Horse Information

      Horse/Donkey/Mule's Name

      Owner's Name

      Address where kept

      Colour

      Sex
      Mare/JennyGeldingStallion/Jack
      Breed

      Year of Birth

      Height

      Weight

      Up to date with Jabs?
      YesNo
      Current Use

      Intended Use

      Diet

      Environment

      Behaviour
      I understand that if I do not disclose known behavioural issues, I may be held responsible for any injuries that occur

      Date of last trim/shoeing

      Previous Hoof Care Provider

      History

      Today's date

      Please reenter email address


      If you have more than one horse, please complete the form again for each additional horse and re-click the "Sumbit Horse Record" button.