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Lazaris Nerve Release
New Client Intake Form

Initial sessions are $125 and includes a 15 minute virtual consultation prior to your appointment.  In this consult we will review and refine where your horses is at in relationship to contact and Pillar 1 as outlined in the Balance Through Movement Method. Please also watch the

free introduction to Pillar 1 prior to your session.

 

Follow up sessions are $110 or 3/$300.  I recommend new clients commit to a minimum of three follow up sessions to see true progress and receptivity of this new modality in your horse. 

 

Your horse dictates the length of each session however they typically range from 45-90  minutes.  Homework will be provided and is essential to ensure progress between sessions for your animal.

Please complete the form below and I will contact you to set up a date when I am in your area and that works for you. 

Consent to Treat & Liability Waiver 

In Prime Equine’s commitment to provide an outstanding and professional experience to all of our clients and out of consideration for our time, we have adopted the following policies: 
 
SESSION PREPARATION 
Please be ready for your appointment(s) 10 minutes prior to the scheduled starting time so your animal is clean, dry, ready and relaxed. Please ensure hooves are picked and your horse is (ideally) wearing a nylon web or leather halter. 
 
Please have your horse secured in a location that is quiet and comfortable to them. Out of the elements is preferred, and shade structure is mandatory for Arizona summer clients. 

 

It is best to avoid areas of high traffic and commotion (ie. main barn aisle during feed or stall cleaning time). If your horse is herd bound or easily distracted it is encouraged for them to have a friend nearby.  

 

It is important that your horse has had a full meal within 30 minutes of the session. 

 

Please do not fly spray your horse, I travel with an effective and non toxic spray that will be applied that is safe for my working hands on your horse's body. 

 

If you have not, please watch the (free) Balance Through Movement Method Introduction to Pillar 1 video.
 
LATE ATTENDANCE POLICY 
Late arrivals made 15 minutes after scheduled start time will be automatically cancelled and charged according to our cancellation policy. 
 
At the discretion of Prime Equine, we may be able to accommodate a partial or full appointment for late arrivals. To be fair and courteous to everyone’s time, your service(s) may be shortened in order to keep on schedule. Please let us know if you are going to be late by texting/calling 306-229-9772 
 
CANCELLATION POLICY 
Any appointments not canceled within 24 hours, no-show appointments, OR if you are more than 15 minutes late for your scheduled time are subject to our cancellation policy fees. 
 
Cancellation fees are as follows: 
     - Cancellation fee is $50 
     - No-show fee is $100 
 
We value our time as well as yours, and cancellations or no-shows do cost us money. 
​We understand that unanticipated events occur in everyone's life. Cancellation policies may be waived at the discretion of Prime Equine 
 
TRAVEL 
Travel fees will be charged for clients requiring one-off trips outside regularly scheduled rotations. 
Travel charge is calculated as follows: 
     - $0.65 / mile (with the first 30 miles complimentary) 
Travel charge may be split among clients within the same barn. 

Travel fees are waived for regular client rotations or barns with more then five bookings/day. 

PAYMENT 
All payments must be paid to Prime Equine in full prior to services being rendered, and may be paid via cash, Venmo or Zelle. At this time, Prime Equine does not accept forms of payment through Cashapp or Apple Pay. 
Venmo - @Adelle-Stewart 
Zelle – 520-840-4349 or primeequinehealth@gmail.com  
 
REFUND POLICY 
We do not offer refunds on payments for services rendered. 
 
CONFIDENTIALITY AND CONVERSATION 
The discussion between Prime Equine and the client is private and confidential. We are happy to share our professional expertise, but reserve the right to decline discussions of a political or private nature. 
 
LIABILITY DISCLAIMER 
Working with any animal involves inherent risk. The owner shall agree to not hold Prime Equine responsible for any injury or condition that may occur to their animal. Prime Equine agrees not to hold the owner responsible for any injury that may occur to her during the appointment. (e.g. from a bite or kick). 
 
Adelle Stewart with Prime Equine reserves the right to stop an appointment at any time if they feel their or the horse’s safety is in question &/or if the horse is not responding appropriately to the session. 
 
EXISTING AND NEW MEDICAL CONDITIONS 
It is the responsibility of the client to keep Prime Equine informed of any medical treatment, current medications, or changes in the animal’s health condition. If necessary, the client may be asked to obtain written permission from the veterinarian, chiropractor, physical therapist, or other health professionals that our services are safe to continue. 
 
VETERINARY DISCLAIMER 
Equine Bodywork is not, nor intended to be, a substitute for veterinary medicine. It is a complementary form of health care. Signs of lameness or illness are contraindications to equine bodywork. The owner is advised to consult a veterinarian prior to the animal receiving body work with any medical concerns or questions and/or to verify with the veterinarian that body work is appropriate for the specific animal in question 

 
If your horse is currently being seen by a veterinarian, the owner has cleared this work with the attending veterinarian to ensure bodywork is at this time appropriate for the horse. The owner acknowledges that muscle and nerve releases may result in underlying muscle mechanisms being exposed that were previously masked through compensatory movements. 

 
Adelle Stewart is an insured Equine Bodyworker, and NOT a veterinarian, and therefore is not able to answer any medical questions nor diagnose or treat any illness or disease.  For an introduction to the modalities utilized please visit www.btmm.link/pillarone 

 

CONSENT & RELEASE 
 I understand that since there are many variables, it is difficult to predict the duration and frequency required for the recommended bodywork procedures, and there is no guarantee to the outcome of the services provided by Prime Equine. 
 
 I agree and consent to assessment and treatment for my equine. I understand that my equine’s personal and health information will be collected. I understand that all information that I provide will be kept confidential unless required by law. I understand and consent that my equine’s medical information may be shared by the various care providers involved in my equine’s care and treatment. 
 
 My horse is not under the care of a veterinarian for any reason that would contraindicate bodywork. I understand it is my responsibility to inform Prime Equine of any changes that would make bodywork contraindicated for my horse. 

I consent to photographs and/or video being taken of my horse for assessment purposes, and as well acknowledge that the photos and video may be utilized for educational purposes by Prime Equine’s marketing website and social media. 
 
I HAVE READ THE ABOVE AND AGREE TO ALL POLICIES AND RELEASE PRIME EQUINE FROM ALL LIABILITIES. 

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