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Veterinary Consent to Bodywork
Please make sure this form is forwarded to your horse's veterinarian to fill out prior to their first session.
Client Details
Owner’s Name
*
Horse’s Name
*
Horse’s Sex
*
Horse’s Age
*
Veterinarian Details
Veterinarian Name
*
Practice Name
*
Practice Phone Number
*
Veterinarian Consent
Please list any relevant medical history.
*
Any additional relevant details or documents can be sent to Vitalis Bodywork at vitalisbodywork@gmail.com
By signing this form, I as the client’s veterinarian confirm that the client’s horse has no indications that would contradict bodywork or massage therapy.
Signature
*
Date of Signature
*
Submit
