Thank you for choosing us to naturally improve the quality of life for your animal using holistic wellness therapies. Please complete the information below so that we may start a chart in advance of our first appointment.

Location:

For equine clients, we will travel to your barn or equestrian facility up to 30 miles from Red Bank, New Jersey. Barns outside this area will be considered, please review our travel policy.

For canine clients, we look forward to seeing your pet at the office at 252 Broad Street, Suite 3 Red Bank, New Jersey 07701 located within the office of Dr. Kendra Pope.

Please contact us with any questions or concerns and we look forward to meeting you both!

Medical History

Please list any chronic illnesses, allergies, or surgeries.
Do you have any information you would like us to review before your appointment? Feel free to upload it here.

Bodywork

Please indicate any sensitive areas or behavioral triggers we should be aware of during bodywork.
I hereby give Animal Bodywork and Aromatherapy permission to photograph my animal for the purposes of posting on social media channels.

I understand my personal information will remain private and will not be shared to the public with the exception of my animal's first name and image.
I understand that massage/ aromatherapy/ acupuncture/chiropractic work is not a substitute for medical treatment or medications, and that it is recommended that I work with my veterinarian for any medical conditions that my animal may have. I understand that Heather Wallace, or other non-veterinary personnel of Animal Bodywork and Aromatherapy cannot diagnose illness or prescribe medications. I understand that any information provided by the therapist is for educational purposes only, and is not diagnostically prescriptive in nature. I have listed all my animal’s known physical conditions, limitations, medical conditions and medications. It is my responsibility to update this information with the therapist and contact my veterinarian if my animal’s physical condition, limitations, medical condition or medications should change.

By signing this release, I consent to treatment for my animal and hereby release Heather Wallace, ESMT, CCMT from any and all liability, past, present and future, relating to aromatherapy and massage.

Do you have any questions? Read my Frequently Asked Questions.