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Woman and Horse

FOR OWNERS

Consult Request

Submit your horse’s information for clinical review and next-step recommendations.

Kinetic Equine Medicine is a referral-only practice. All new cases are reviewed to ensure your horse is an appropriate fit for our services before an appointment is scheduled.

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Once you submit your consultation request:

  • Our team will review your submission.

  • If your horse is a good fit, you’ll receive instructions to download and complete our full intake packet with treatment approach, pricing, and scheduling details.

  • Once the completed packet is returned, we will schedule your appointment.

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Please allow up to 7 business days for review and response.

Kinetic Equine Medicine Consultation Request

Please complete the form below as thoroughly as possible. The information you provide allows our team to understand your horse’s history, current concerns, and goals, and to determine whether KEM is the right next step.

You may upload veterinary records, imaging reports, and photos or videos now or after submitting this form. Additional materials are often helpful but not required at this stage. You can also email records to us at info@kineticequinemedicine.com

Owner Information

May we text you at this number?

Patient Information

Sex
Mare
Mare (Spayed)
Gelding
Stallion

Veterinarian Information

Kinetic Equine Medicine is a referral only practice and all patients must have an established primary vet.

Medical History

Diagnostic imaging performed
Ideal timeframe or start date
Next 1-2 months
Within 2-3 weeks
Urgent - within 1 week
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