River Hoof Care
Client Intake Form
Sign in to Google to save your progress. Learn more
Email *
Contact Information
This information will be used for me to contact you in regards to appointment times & send you progress pictures as well as any other information we talk about (thrush treatment plans, supplement plans, etc).
Your first and last name *
Your mailing/billing address *
Phone number *
Horse location (barn name/address) *
Horse Information
This is for me to better understand your horse, any concerns you may have, etc so I can best serve you and your horse.  If you have multiple horses, please list all of their information in order so I know what information goes to which horse.  Thank you!
Name of Horse(s) *
Sex of horse (s) *
Breed(s) and height(s) *
Age(s) *
How long have you owned this horse(s)? *
Date of last trim  *
MM
/
DD
/
YYYY
Current hoof care (shod, composite shoes, barefoot, boots) *
Horse(s) living environment (stall, turnout, pasture, mixture, etc) *
Horse(s) activity level/use *
Horse(s) diet  
(Please include type of hay, amount, grain, supplements, etc. by weight)
 *
Any past or current health issues or injuries? *
Who is your veterinarian?  *
Do you have a safe, clean, covered area for me to work under? 
 *
Is your horse(s) a well-behaved and willing participant for hoof care? Please respond with honesty for my safety. 
 *
Why are you looking at switching hoof trimmers? *
Do you have any concerns about your horse(s)? (diet, movement, hooves, etc)
Any questions for me?
How did you hear about me?
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms