Functional Movement Starts HereI’m so excited to work with you and your equine! Name * First Name Last Name Email * Phone * (###) ### #### How do you prefer I contact you? Call Text Email What is your horse(s) name, age, and breed? What is your horse's primary job/discipline? What specific issues or concerns, if any, are you hoping to address with bodywork? How long have you noticed these concerns, and what triggered them (injury, training, age, etc.)? Has your horse received bodywork such as massage, chiropractic, or PEMF therapy before? If yes, how did they respond? What is your horse's current activity level and training schedule? Are there any current health issues, medications, or recent veterinary treatments I should know about? What address is your horse located at, and is it your personal property or a boarding facility? What would success look like to you after a session, and do you have any questions about what a session looks like? How did you hear about The Functional Equine? Google search Social media Referral Business card/flyer Other I understand this session is complementary to veterinary care and does not replace diagnosis or treatment from a veterinarian. * Thank you! I have received your intake form. I am so excited to support your horse on their journey to a more functional, comfortable body.Functioning better, healing deeper.-Emma Wagener