Massage Final Assessment - Canine Health and Wellbeing Academy

Canine Remedial Massage Final Assessment

Use this form to submit your Video, upload your video to youtube before completing this form.

"*" indicates required fields

Name*

First Last

Email address*

Course Intake*

Date of Observation*

Name of Clinic attended

This video does NOT need to be done in a clinic environment

Location of Clinic attended

This video does NOT need to be done in a clinic environment

Canine Patient Name*

Canine Patient Age*

Canine Patient Breed*

Canine Patient Sex*

Male

Female

Desexed?*

Yes

If your canine model was to present for treatment, what would be the owners treatment goals?*

Canine Patient Injury/Problem(s) Presented (if any)*

If your canine model was to present to you for treatment, what would be your treatment plan for today (massage techniques and locations)*

If your canine model was to present for treatment today, what would be your treatment plan going forward?*

Youtube Link*