Horse Name

Horse Age

Gender
GeldingMareStallion

Mares only: Is your mare:
Pregnant?Lactating?

Breed

Height

Provide EITHER Weight OR Girth and Length measurements below:

Weight:

OR Girth:

AND Length:

See Guide for measuring Girth and Length

Measurement Instructions –
GIRTH: With the horse breathing out, position the measuring tape behind the point of the elbow and encircle around the chest behind the withers.
LENGTH: Measure from the point of the shoulder to the point of the buttock (the most rounded point). Ensure that the measuring tape is taut and straight.

Diet / Nutrition / Feed Schedule:

Living Arrangements (tick all that apply):
PaddockStableYard

Why are you seeking a Nutrition Consult for your horse?

List ALL Medical Conditions:

Current Medications and Supplements:

Please provide current photographs of the following below or send via email to gizelle@sacredhorse.com.au:
(There is a limit of 8mb per file to upload and only jpg, jpeg, png & pdf fill types can be accepted)

Full side shot:

Photo from behind:

I

confirm that I have disclosed all of my horses’ known medical conditions and answered all questions honestly and to the best of my ability. I agree to keep the practitioner informed of any changes to my horses’ medical status and understand that there shall be no liability on the part of the practitioner should I fail to do so.

Your Email

(If you have a lot of photos, please allow time for them to upload)