Large Animal Chiropractic Progress
This Google Form is utilized for established large animal chiropractic patients WITHOUT a new musculoskeletal problem to evaluate Chiropractic progress with veterinary consultation time. These appointments are 30 - 45 minutes of focused time on musculoskeletal recheck, trigger point scan, and treatment with discussion. Chiropractic service options and fees were updated January 2024, so please head back to the services page if you are unsure of the appointment type you are looking to complete. If you need additional time for consultation of other problems, or want additional therapies, please select the additional services at the bottom of this document AND contact Dr. Bacon if you may need to arrange additional time.

If you are looking to have a maintenance adjustment on your horse that has been evaluated in the last 6 months and you do not need additional consultation evaluation, then you do not need to fill out this form. Chiropractic adjustment only horse appointments are reduced in cost, and last between 20 and 30 minutes. If you want additional add-on services like kinesiology taping, laser, or PEMF treatment, please text or call Dr. Bacon at (970) 450-7300 to make sure enough time is set aside for your appointment needs. An adjustment only appointment is not appropriate for horses with new problems or concerns.

If you have received this form in error and need to establish a new patient or work-up a new problem (i.e. your appointment will take 45 minutes or more), please send an email to drmegbacon@mediceininmotionvet.com OR text/call (970)450-7300 to discuss your needs. You may also choose to return to the client forms tab at www.medicineinmotionvet.com to fill out appropriate paperwork.

If you have questions or concerns regarding your chiropractic visit, please call Medicine in Motion Veterinary Services at (970)450-7300 or email customerservice@medicineinmotionvet.com or visit www.medicineinmotionvet.com to look in our Education Tab or FAQ Tab. You are encouraged to visit the FAQ tab, as it discusses how to prepare for your scheduled evaluations. Feel free to follow Medicine in Motion Veterinary Services on social media for message posting, good information, and fun pictures @MedicineinMotionVet.

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NAME (First and Last) 

(Please indicate relationship to animal if not the owner; Liability waiver must be filled out by the animal owner giving permission for treatment and identifying alternative handlers)
 *
Animal Name *
Has your animal been overall better, worse or the same since your last visit? *
Please elaborate on what you notice is better or worse since the last visit if applicable?
Please list any changes to health since last visit including primary veterinarian, farrier, or body worker findings (examples include health conditions, rehabilitation therapies like laser/acupuncture, injuries, surgeries, and radiographs with dates where applicable.)
If you were given any rehabilitation exercises, please let Dr. Bacon know if you feel your horse has been making progress (or not) with any particular exercises. If you have questions regarding any exercises, you may also type those here.
Please list any changes/additions to your horse’s supplements or medication routine
Please list any other comments, questions or concerns regarding this animal’s chiropractic care follow-up visit here
Please indicate if any information (primary veterinarian, alternate handler, alternate concerns) is needed for this animal that differs from the animal’s initial intake information
Please select any additional services that you know that you would like with this visit for this particular animal. Please note that these additional services have additional fees as their time commitment will go beyond the typical appointment time. Brief consultations (<10 minutes per topic) regarding at-home exercises, minor behaviors, pain management, and quality of life do not carry extra fees, as they are considered part of Dr. Bacon’s complete care. Pre-selecting your choices here helps Dr. Bacon to best create/adjust time allotted for your visit that goes beyond the typical evaluation. 

Many of the fees for ambulatory exams and services can be found at https://medicineinmotionvet.com/services . 

Advanced Consultation Services include lameness exams, neurologic exams, extended rehabilitation exams, and ridden evaluations. These are $100/20 minutes of on-site work since 10 to 20 minutes off-site will be used for video analysis, picture analysis, rehabilitation exercise write-ups or other extended write-up time.

General Consultation Services revolving around just on-site time such as behavioral consultation, Pain management consultation (medications, supplements, prescriptions, pain scoring, etc), and Quality of Life consultations (surveys, pain control, alternative therapy options) are only $50/20 minutes.

If your animal is receiving in-hospital services in partnership with a local clinic, fees may be different than the Medicine in Motion website, as they are adjusted based on that clinic’s requirements, location, and overhead costs. You should also contact the respective clinic directly to let them know of your interest in additional services so they can adjust your appointment time.
How would you like to pay for your chiropractic visit? *
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