To Schedule an Appointment with Heather, please fill out this form.
We will call you to schedule your appointment.

   
   

Today's Date

         
Owner Information  
Name
Address
City State Zip
Telephone
County
Email
   
Stable  
Contact
Address
Telephone
   
Farrier  
Name
Telephone
   
Horse Information  
Name
Breed/Color
Height/Weight
Date of Birth
Markings
Discipline
Problems
 

(Elaborate under "Major Complaints")


 History & Background
Training Discipline
Length of Training
Accidents in Training
Accidents in Play
   
Personality Traits  
Ground Manners
Stall Behavior
Under Saddle
   
Medications & Supplements  
Current
Past
Last Administered
   
Overall Condition  
Current Session
Prior Session
   
 Recent Changes  (Within past 6 months)
Environment
Tack
Nutrition/Therapies
   
Major Complaint / Comments

   

Please note that therapeutic bodywork is evaluative, not diagnostic in nature and is not a substitute for veterinary care. Please seek veterinary opinion when in doubt.
 

   
Please check your agreement to abide by Hill Equine Massages’ Policies
   
Prepayment for sessions is not required. However, if one or more sessions are missed, Client shall be invoiced and agrees to pay Hill Equine Massage for the balance.
 
Cancellations and rescheduling requires a minimum 36 hour notice to avoid $25 Cancellation Fee (per horse basis)
 
Checks that are returned uncollected incur a $30 Returned Check Charge.
   
   
   

Best time for Heather to Contact you

 

Hill Hill Equine Massage
Houston, MN 55943
507-896-4961
507-459-3546 (cell)