Helping our clients’ horses live long, happy and healthy lives.
New Client Registration Form
Client Full Name
Home Address (billing address)
Postcode
Telephone Number Home
Telephone Number Mobile
Emergency Contact Name
Emergency Contact Number
Yard Address
Postcode
Email Address
1 Horse Full Name
Stable Name
Breed
Colour
Age – Date of Birth
Sex - Male/Female
Mare/Gelding/Stallion
Weight/Condition
Previous Vets
May we request a history
Is your horse insured
Insurance Name
Microchip Number
Known Medical Conditions
2 Horse Full Name
Stable Name
Breed
Colour
Age – Date of Birth
Sex - Male/Female
Mare/Gelding/Stallion
Weight/Condition
Previous Vets
May we request a history
Is your horse insured
Insurance Name
Microchip Number
Known Medical Conditions
If you have more horses please fill in a second form
Central Equine Vets, 85 Liberton Drive, Edinburgh, EH16 6NS.
Tel: 0131 664 5606. Email: info@centralequinevets.co.uk