Register as a client

Please complete the form, fields marked with an *asterisk are required fields.

Please complete the form, fields marked with an *asterisk are required fields.

About you

Title*

Name*

Phone number*

Home address*

About the horse(s)

Registered name

Known as / stable name*

Breed

Colour

Date of birth

Sex

Yard address (Select from dropdown if same as home address if not add below)

What3words location of yard

Vaccination history

Is the horse vaccinated for:

Equine influenza

If yes when were they last vaccinated

Tetanus

If yes when were they last vaccinated

Equine herpes virus (EHV)

If yes when were they last vaccinated

Strangles

If yes when were they last vaccinated for strangles

Previous medical history

During your ownership, has the horse been registered with another vet?

if yes, which veterinary practice was the horse registered with

In order to provide the best care, we will request the clinical records from your previous vet practice. Are you happy for us to do this

Your permission

Does anyone else have your permission to ask a vet to attend your horse in an emergency?*

Name*

Relationship to you

Phone number*

We take good care of your information and only use it to support you and your horse

I’m happy for Nova Equine Vets to use my details, and my horse’s details, as explained in the Privacy Policy

I have read, and agree to Nova Equine Vets terms and conditions of service