top of page
Untitled design (1)_edited.jpg
Untitled design (1)_edited.jpg

Do you want your horse to feel amazing?

Start the season worry-free.

Get in touch.

CONTACT

To make your horse feel amazing, get in touch now.

+352 661 732 903

Luxembourg

FORMS

For all new patients to fill out.

Physiotherapy does not replace a veterinary diagnosis. In case of acute changes in condition, obtain a referral from your registered vet.

*Printable versions available at the bottom.

INITIAL INTAKE FORM

Thank you for choosing Veterinary Physiotherapy Anna Srutova.

Before your appointment

✓ Horse:

Please have your horse ready with a halter and lead in a quiet area. The horse should be dry and clean, including the feet. A flat, firm surface will be required for dynamic assessment. Do not feed your horse 1-2 hours before the visit.

Duration: ~1 hour and 15 minutes

✓ Dog:

Please have your dog ready with a collar and lead in a quiet area of your home away from other dogs and distractions. The dog should be dry, clean, and allowed to a toilet before the session. A flat, firm surface will be required for dynamic assessment. Do not feed your dog 1-2 hours before the visit.

Duration: ~1 hour

DSC_7596_edited_edited.png

To be completed by new clients before the first visit.

Estimated completion time ~ 3 mins.

~ Client Information~

~ Animal Information ~

Referred animal is
Sex (+neutered)
Upload relevant evidence

~ Declaration ~

Thank you!

FORMS - printable

All new patients are required to fill out the Initial Intake Form (1).

Veterinary Referral (2) is preferred and highly recommended for all patients.

1

Initial Intake Form

For all new patients and maintenance cases (no health issues diagnosed by the vet).

Please note, physiotherapy does not replace a veterinary diagnosis. In case of acute changes in condition, please, speak to your treating veterinarian to obtain a Veterinary Referral (2).

2

Veterinary Referral Form

For new patients, diagnosed conditions and acute cases. Although veterinary referral is not required by Luxembourgish legislation, it is highly recommended as it allows us to focus on the exact diagnosis and provide the best care and outcome possible.

OR

Please return forms to vetphys.info@gmail.com

Thank you!

bottom of page