Send Your Horse to Pinnacle Equine Therapy

Please complete the application below to the best of your ability. The details that you provide will help us ensure that we are the right fit to help your horse through his/her rehab journey.

Additional information such as veterinary records and photo/video may be requested later to help our team develop the most effective and customized plan for your horse.

After you submit this application, our team will review your submission and be in touch soon regarding availability and next steps!

Owner Full Name *

Owner Phone Number *

Horse's Name *

Horse's Age *

Horse Breed *

Horse's Discipline *

Main Veterinarian's Name *

Main Veterinarian's Phone Number *

Please list any other veterinarians, bodyworkers, chiropractors, massage therapists, osteopaths, ect. *

Please list any medications and supplements that your horse is currently receiving or has recently been given: *

Please list all known injuries and illnesses the horse has had: *

Please list any surgeries and imaging the horse has had: *

Please share your goals with your horse after his/her rehab is complete. *

Please share your ideal start date *

Is there anything else that you'd like us to know about your horse? *

PO Box 10110 Fayetteville, AR 72703