General Medical/Physician’s Statement
Date: October 24, 2020
(This student is being considered for equine activities that may include riding horses.)
Please indicate current or past difficulties in the following systems/areas/ surgeries:
To my knowledge, there is no reason why this person cannot participate in supervised equestrian activities at King's Stables. However, I understand that King's Stables will weigh the medical information above against the existing precautions and contraindications.
I have examined this child and found him/her to be free of contagious and infections diseases.