Animal Name
Client Name
Phone Number
Email Address
Acknowledgement of Services
I understand that Hoofbeats Equine Wellness provides microcurrent therapy sessions with the Electro-Equiscope designed for pain management, injury recovery and overall wellness. I acknowledge that these sessions are not a substitute for a veterinary diagnosis and/or treatment, and that the practitioner, Audy Macdonald, is not a veterinarian. I understand that any health or performance decisions for my animal remain my responsibility and I agree to consult my veterinarian as needed.
Assumption of Risk and Liability Release
I acknowledge that participation in Equiscope sessions, my animal could possibly experience temporary atypical responses including but not limited to: increased soreness, lameness, restlessness, anxiousness, local skin sensitivity, lethargy or mild dehydration.
Photography and Case Study Consent
I grant permission for photographs, videos, and/or case details of my animal to be used by Hoofbeats Equine Wellness on social media for educational, informational, or promotional purposes.
I have read and fully understand this release/waiver and I voluntarily agree to its terms. I confirm that I am at least 18 years old and legally authorized to make decisions for the listed animal.