Dynamic Equine Veterinary Services
New Client Form


We would like to thank you for choosing Dynamic Equine Veterinary Services for your horse’s Veterinary Care. At Dynamic Equine Vet Services, our commitment is to treat both you and your horse with compassion, empathy, and respect. If at any time you are not satisfied with the services you receive, we encourage and welcome your feedback. There are a few things we would like you to know in advance of your appointment. 

1. All services are required to be paid for at the time of the appointment. Payment options include cash, eftpos and on the spot electronic funds transfer (preferred). Estimates can be provided prior to your appointment if needed, please just let us know if you would like one to be emailed to you. 
2. We understand that life happens and there may be times when you need to cancel or reschedule your appointment. If this happens, please let us know as soon as possible to allow us the best chance to refill your booking time. Repeated cancellations, and those within 24 hours of appointment time may incur a cancellation fee. Please see our website for further details on our cancellation policy. 
3. If you cannot be present for your appointment, please ensure the person who is present in your place has your permission to give consent for procedures or treatments deemed necessary by the veterinarian, or that you are contactable during your appointment time by phone. 
4. There must be room on your property for the work vehicle and porta-safe stocks to safely turn around, as well as relatively flat ground to safely lower and operate the crush. If these criteria do not describe your property, please make arrangements for your appointment to be held at a suitable location.
5. Your horse must be halter trained at the minimum. If not, you will need to have suitable facilities to confine the horse safely enough to receive a sedation injection (ie a cattle crush or race). The porta-safe-stocks are not designed to hold unsedated, unhandled horses. 
6. Where possible shade or shelter from the elements is very much appreciated!

Please feel free to call us if you have any queries on 0460 651 842 or email us at [email protected] 

We look forward to seeing you soon. 
Dr Mikhalla 
Dynamic Equine Vet Services
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Tell us about you:
Name
Name
Phone number
Phone number
Email
Email
Street Address
Street Address
City
City
Postcode
Postcode
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Is your horse located at the above address?
Yes
No
If no, where is your horse located?
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Please tell us about your horse (if multiple animals add them all in please in the same text box eg. Name: Ginger, Spot, Tinkers. Breed: TB, ASH, Welsh)[Checkboxes]
Name(s)
Breed(s)
Age/DOB(s)
Sex(es)
Colour(s)
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How long have you owned this horse for?
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Has this horse had any major medical issues in the past that you are aware of?
Yes
No
If yes please provide details...
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Do you have any current concerns about your horses health?
Yes
No
If yes please give details...
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Has your horse had a tetanus vaccination in the last 2 years?
Yes
No
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What service(s) are you wanting to book?[Checkboxes]
Dental
Vaccinations (Tetanus/Strangles)
Microchipping
Freeze branding
Castration/gelding surgery
Reproductive/pregnancy ultrasound
Other
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If you are booking for a dental procedure, has your horse had this before?
Yes
No
N/A
If yes, does your horse have any dental disease or abnormalities that you are aware of?
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Has your horse had any adverse effects from sedation before?
Yes
No
Unsure
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If you are booking for vaccinations, has your horse had this before?
Yes
No
N/A
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Do you have adequate room for turning a vehicle and trailer at your property?
Yes
No
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Is your horse halter trained?
Yes
No
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If no to the above Qn, do you have a cattle crush or race to safely confine the horse for sedation?
Yes
No
N/A
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1.
What date do you wish to make a booking for? If you have a preferred time of the day please let us know as well and we will do our best to accommodate (not guaranteed).
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How did you hear about us?
Facebook Ad
Facebook group post or our page
Instagram
Google search
Word of mouth/Friend
Please tell us who so we can thank them with a $10 credit! 
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Payment and Cancellation
Have you read and do you agree to our payment and cancellation policies (located on our website www.dynamicequinevets.com.au)?
Yes
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Sedation & Anaesthesia Consent
I understand that sedation and/or anaesthesia (local or general) is required to safely examine and treat my horse. I acknowledge that, while these procedures are commonly performed and risks are low, some risk is always present. I consent to the use of sedation and/or anaesthesia as required by the attending veterinarian.[Checkboxes]
Yes
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Thank you and we look forward to meeting you and your horse(s)! Please sign below.
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