Thank you for choosing me to naturally improve the quality of life for your horse or dog with sports massage, acupressure, and aromatherapy. Please complete the information below so that I may start a chart in advance of our first appointment.

Location: 

For equine clients, I  will travel to your barn or equestrian facility up to 30 miles from Red Bank, New Jersey. Barns outside this area will be considered, please review my travel policy

For canine clients, I look forward to seeing your pet at my office at 252 Broad Street, Suite 3 Red Bank, New Jersey 07701. 

 

 

Before your first appointment, please complete the New Client Form below so that I may start a chart for your animal. Please contact me with any questions or concerns and I look forward to meeting you both! 

 

Medical History

Please list any chronic illnesses, allergies, or surgeries.

Bodywork

Please indicate any sensitive areas or behavioral triggers we should be aware of during bodywork.
I understand that massage/ aromatherapy/ acupuncture is not a substitute for medical treatment or medications, and that it is recommended that I work with my veterinarian for any medical conditions that my animal may have. I understand that Heather Wallace, ESMT, CCMT cannot diagnose illness or prescribe medications. I understand that any information provided by the therapist is for educational purposes only, and is not diagnostically prescriptive in nature. I have listed all my animal’s known physical conditions, limitations, medical conditions and medications. It is my responsibility to update this information with the therapist and contact my veterinarian if my animal’s physical condition, limitations, medical condition or medications should change.

By signing this release, I consent to treatment for my animal and hereby release Heather Wallace, ESMT, CCMT from any and all liability, past, present and future, relating to aromatherapy and massage.

 

Do you have any questions? Read my Frequently Asked Questions