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New Horse History Form

I understand that Acuscope and Myopulse Therapy or other modalities are never a replacement for proper veterinary care. I understand that SL Acuscope and Myopulse will not diagnose conditions, attempt any adjustments/musculoskeletal manipulations or prescribe medications, nutraceuticals or supplements for my horse. If my horse is currently being seen by a veterinarian, I have cleared this work with the attending veterinarian to ensure Acuscope and Myopulse Therapy is at this time appropriate for this horse. 

If the horse is a female, has she previously foaled? Does she have issues while in season and/or has had a reproductive exam?
If the horse is female, is she currently in foal?
Has your horse been denerved (Neurectomy)?
Has your horse been diagnosed with cancer?
Has this horse ever bitten/attacked anyone (Human or Horse)?
Have any other therapeutic devices or modalities been used on this horse (Ex. PEMF, Shockwave, Laser, Massage, Chiropractic, Etc)
Immunizations current?
Worming current?

Thanks for submitting!

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