Rainbow Equine Hospital
Mobile number (required)
Other phone (home/work)
Your Email (required)
What is your current address?:
Have you lived there more than two Years?
If Yes, Please tell us where you have lived for the last two years, prior to your current address.:
Are you a homeowner?:
What is your employment status?:
What accounts and cards do you hold with them?
Current AccountDebit CardCredit Card
How many years have you been with them?:
Your Horse 1
Breed and colour
When was this horse last vaccinated against tetanus and flu?:
Is Horse 1 Kept at the home address you have supplied above?:
If No, Where is Horse 1 currently kept?
Your Horse 2
Is Horse 2 Kept at the home address you have supplied above?:
If No, Where is Horse 2 currently kept?
Your Horse 3
Is Horse 3 Kept at the home address you have supplied above?:
If No, Where is Horse 3 currently kept?
Your Veterinary Practice
Who is your previous/referring vet? (required)
What is their address and telephone number?:
Are you insured for vet fees
What is the name of your insurance company?
What is your policy number?:
Rainbow Equine Hospital remains fully open and able to provide a full veterinary service for clients, referral vets and their horses in this lockdown phase
Both hospital vet teams and the on the road vet teams are fully working through the current lockdown and are able to provide the usual high quality of care both at your yard and in the hospital.
We will continue to be vigilantly following rules with respect to social distancing, wearing of masks/visors and minimizing contact between owners and veterinary staff. We want to reassure you that we are here to help take care of you or your client’s horses in a thorough and complete way whilst ensuring the safety of our staff and the horse owning public.
Feel free to book appointments or send us messages through our reception team on 01653 695743, or by emailing email@example.com