New Clients

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, we will travel to your barn or equestrian facility up to 30 miles from Red Bank, New Jersey. 

For canine clients, I will forward to seeing you in your appointment at the office: 

 

 

If you have questions or concerns please call me at 732-784-7195. Looking forward to meeting you and your animal soon! ~ Heather

 

Please list any chronic illnesses, allergies, or surgeries.
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