Contact Form for Massage Therapy

Name & Surname

Phone Number & Email

Yard Address & Post Code

Horses Name, Age, breed & Height

Discipline & Activity Level

Vets Name, address & Phone Number

Known / Diagnosed Medical Conditions or Injuries

Reason for Equine Massage Therapy

Please Tick the Following That Apply Required

My horse is healthy and I confirm that my horse is not currently under veterinary supervision for any illness or injury.

My horse has a known illness or injury. Veterinary consent is required for treatment. By ticking this box you confirm that you will obtain consent from your vet for your horse to receive this massage therapy before the appointment. (This can be achieved verbally from your vet)

I, the owner of the horse named above, give permission for Victoria Hilton to perform equine massage therapy. I understand this therapy is not a substitute for veterinary care, and I will seek veterinary advice for any health concerns.

I confirm that all of the information I have provided is accurate and I understand that while every effort is taken to ensure safety, massage therapy is provided at my own risk.

I agree to the terms & conditionsView terms & conditions

Thanks for submitting!