New client and horse registration form

If you would like to register multiple horses please submit this form for the first horse and select the option to register a further horse.

Please familiarise yourself with the Equivet Terms of Business for Clients, Terms of Business for Businesses and Privacy Notice

Title

Please Select

First name

Last name

Corespondance and billing address

Email Address

Home telephone number

Mobile telephone number

Stable address

Please include postcode.

Additional directions

Horse's stable name

Horse's Registered (Passport Name)

Passport Number (UELN)

Microchip Number

Horse's Age

Horse's Colour

Breed of Horse

Horse's Sex

Previous vet contact details

I hereby request to be registered as a First Opinion client of Equivet Limited

Please refer to Equivet Terms of Business via the link at the top of this page

I request this

I agree to pay for all services provided by Equivet mobile horse veterinary services at the time of consultation or before and understand that credit is not offered by Equivet mobile horse veterinary services

Please refer to Equivet Terms of Business via the link at the top of this page

I agree

I am over 18 years of age

Yes

Confirm credit and check and clinical history request

I agree that the practice may carry out a credit check with a regulated credit agency and may contact my previous veterinary practice, if required, both to obtain medical histories and to confirm that I/we do not have any outstanding accounts.

I accept the terms of Equivet Privacy Notice

Please refer to the Equivet Privacy Notice via the link at the top of this page

I accept these terms