Groundwork Equine
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Groundwork Equine

Single Horse Intake Form.

A starting point for your horse's nutrition journey.

This form helps Groundwork Equine understand your horse as an individual. We will review your horse's current nutrition, forage, lifestyle, workload, health history, condition, environment, and your goals before preparing recommendations.

Prepared for

Section 01

Owner contact

Section 02

Horse information

Section 03

Veterinarian

Section 04

Farrier

Section 05

Property / location

Section 06

Current diagnoses

Select any current diagnoses. We'll discuss specifics together.

Section 07

Past conditions

Section 08

Body condition

Brief observations about each area help us understand your horse's current condition.

Section 09

Current feed & forage

Section 10

Current supplements

List each supplement currently being fed, with dose and reason.

Section 11

Current medications

Section 12

Concerns & goals

Select any that apply. We'll prioritise together during your consultation.

Section 13

Photos & documents

Indicate what you'll be able to send. You can email these to jillian@groundworkequine.ca after submitting this form.

Section 14

Anything else

We respect your information. It's only used to prepare your consultation.

Thank you

Thank you for trusting Groundwork Equine with your horse's nutrition journey.

Once your intake form and photos are received, Jillian will review your information and follow up with next steps.

Jillian Nielsen

Certified Equine Nutrition Advisor

jillian@groundworkequine.cagroundworkequine.ca

Rooted in science. Grounded by connection.