Equine Owner Consent

Please fill out the following form.

Full Name

Home Address

Phone

Email

Animal Name

Animal Address (If different from home)

Sex

Animal Age & DOB (If known)

Breed

Height

Has your horse ever shown any signs of anxiety or agression.

Is there anywhere your horse does not like to be touched.

I am happy to allow photos of my animal to be taken and used for social media and advertising purposes.

Yes

No

I, the owner of the horse named above give my consent for this animal to receive physiotherapy treatment from McMasters Veterinary Physiotherapy.

Signature

Signature field is empty.

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Equine Owner Consent Form