New Client Information Form

Name of Owner *

Barn Name *

Phone *

Barn Address

E-mail *

Horse's Name *

Breed *

Color *

Date of Birth

Sex *

Height (hands)

Weight (lbs)

When purchased?

Current Veterinarian

Vet Phone

Vet Address

Vet E-mail

Name of Farrier

Farrier Phone

Farrier Address

Any notable present or past health issues, injuries, surgeries, or behavioral concerns? Have they been resolved?

Other equine healthcare professional(s)?

Behavioral concerns (nipping, aggression, cribbing, stall aggression, etc.)?

Last vet visit & why?

Last shod/trimmed?

Teeth last addressed & by whom?

Ever had a massage?

Saddle/tack last fitted?

Ridden in another saddle?

Current feeding program (incl. medications/supplements)

Housing (stall, turn out, etc.)

Current discipline(s) trained, and previous training in others?

Areas currently sore/tight?

Bites, kicks, cross-tie issues, hoof handling, other vices?

Other Comments

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