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Details
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Step
1
of 5
Name
*
First
Last
Email
*
Contact Number
*
Yard Address
*
Address Line 1
Address Line 2
City
State / Province / Region
Postal Code
Animal Name(s) (seperate names by "-")
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Equine Sports Massage
Quantity
1 horse
2 horses
3 horses
4 horses
5 horses
Equissage
Quantity
1 horse
2 horses
3 horses
4 horses
5 horses
Kinesio Taping
Quantity
1 horse
2 horses
3 horses
4 horses
5 horses
Theraplate
Quantity
1 horse
2 horses
3 horses
4 horses
5 horses
Zamar Cryotherapy
Quantity
1 horse
2 horses
3 horses
4 horses
5 horses
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Consent
Have you used E-quineRehab.com before?
*
Yes
No
Multiple Choice
IATS
Checkboxes
*
I agree to the TheraPlate Consent Form
*
* The TheraPlate is not suitable for the treatment of blood clots.
* I understand there may be temporary muscle soreness post therapy.
* I am aware that a TheraPlate therapist does not diagnose illness, perscribe medications,
manipulate the body or give medical advice.
* I am aware that the TheraPlate may help improve certain conditions, however results are
not guaranteed.
* I will tell the TheraPlate therapist of any discomfort during the protocol.
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Checkboxes
*
I have read and agreed to the below cancellation policy
*
Appointment Cancellation
When you book your appointment, you are holding a space on our calendar that is no longer available to our other clients.
In order to be respectful of your fellow clients, please email support@e-quinerehab.com as soon as you know you will not be able to make your appointment.
If cancellation is necessary, we require that you confirm at least 48 hours in advance.
Appointments can be in high demand, and your advanced notice will allow another client access to that appointment time.
How to Cancel Your Appointment
If you need to cancel your appointment, please email us at support@e-quinerehab.com between the hours of 09:00 – 21:00.
Late Cancellations/No-Shows
A cancellation is considered late when the appointment is cancelled less than 48 before the appointed time.
A no-show is when a client misses an appointment without cancelling. In this instance we will debit the cost of the required service from the card used to book the appointment.
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Payments
Total Amount Payable
£ 0.00
Payment Method
*
Pay Now
Pay on the day
Credit / debit card number
*
Card
Name on Card
Schedule Appointment
