"By doing what you love, you inspire and awaken the hearts of others!” —unknown

Leslie Brooks , MMCP, ESMT, ETCP

Certified Equine BodyWork Practitioner

Masterson Method Instructor

Phone - 908 619-3985

equihands135@gmail.com

*PLEASE NOTE prior to submitting -

Client understands that equine sports massage & bodywork is not a

replacement or alternative for veterinary care.

Massage practitioners / therapists can not diagnose or treat illness / injuries.

If concerned about the health of your horse, please consult your veterinarian.

Client has completed the form to the best of their knowledge and will keep EquiHands updated with any changes in the information provided on the intake form.

Client consents for Leslie Brooks CESMT, MMCP, ETCP to provide equine massage & bodywork services.

Equine client intake form

Who can we thank for referral?

Last shoeing/trim, teeth or saddle check

Horse disciplines or activities *

Veterinarian *

Farrier *

BARN/stable - Name / address *

Recent Injuries/illness/medications *

Main reason for contacting EquiHands *

CLIENT Contact -name,address, phone *

HORSE details, name, age, breed, color & sex *