Matt Staples Hoofcare Lameness Contact

Lameness History Form Click here for a standard contact form

		32 Forest View, Furnace Green , Crawley, WEST SUSSEX RH10 6PJ
		07771 533248
		info@mattstapleshoofcare.com

Alternatively please complete our contact form below. Red fields must be completed, all others are optional.

Contact Details
	Name :
	Email:
	Address :
	Town/City :
	County/State :
	Post/Zip Code :
	Yard Address if different to above :
	Country:
	Telephone :
Horse Details
	Horses Name :
	Breed:
	Age :
	Discipline (Used For):
	Height :
	General Body Condition:
	How long since last shod:
	Please provide name and contact details of previous farrier, as it may be useful to discuss any treatment approach they have taken in the past :
Lameness History
	How long has the horse been lame ?
	Has your horse had lameness issues in the past? If so what were they ?
	Which limb/limbs do you think is/are affected? With the present lameness.
	When this lameness was first noticed where would you place a grading for the extent /degree on AAEP scale ?
	How has the lameness occurred ?
		Other :
	The onset of lameness was :
		Other : ;
	Is the lameness worse on hard or soft ground ?	Hard Soft Indifferent
	Have you had a Veterinarian attend ?
	If so please provide name of veterinarian and contact number :
	Do you have a formal diagnosis from this Vet ?
	If so please provide details of the diagnosis :
	Do you have or can radiographs / scans or other imaging be provided concerning this lameness ?
	Is your horse on any pain relief ?
	Prior to this current condition had you noticed any gait fault issues such as tripping stumbling forging etc. ?
	Does your horse ever require / receive any chiropractic / physiotherapy ?
	If so do you have any reports concerning these issues ?
	Please provide any other information you feel maybe relevant that I have not covered in above questions. i.e. Has your horse had a neurectomy?