Equine Behavior History Form Name * First Name Last Name Email Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Horse's Name * Horse's Age * Horse's Breed * Age Obtained * Mare/Gelding/Stallion * Height? * Referred By? * Veterinarian Name and Phone Number * List Any Medications: * How would you describe your horse's problem? * What does a typical day look like for your horse? (Turnout, feeding, exercise schedule) * How often does the problem behavior occur? * How long has this behavior been occurring? Have you spoken with your veterinarian about this behavior problem? * Stable Address * Thank you!
