GREENLOCK THERAPEUTIC RIDING CENTER, Inc.

55 Summer Street – Rehoboth, MA  02769

Telephone:  (508) 252-5814

 

Specializing in hippotherapy treatment

& Offering therapeutic riding

 

A NARHA Premier Accredited Center

 

Application Process for New Client

Procedure

Required Forms

Mailing Information

 

 

Hippotherapy session at Greenlock

 

Initial Assessment:

Procedure:

Upon receipt of ALL completed forms listed below, our intake therapist will review the applicant’s package to determine if our hippotherapy or therapeutic riding program would benefit the applicant. An assessment appointment (necessary for ALL applicants) will be scheduled only if there is a mutually agreed upon weekly session time available.  If an opening is not available, the applicant will be placed on a wait list.

Required Assessment Forms:

Please complete the following forms and obtain the required signatures (including physician).  To print each form, please click at the top left corner of each form, hold down the mouse key and drag the mouse to the bottom right of the form.  This will highlight all the text in the form and allow you to print them.

Participant's Application and Health History Form

Participant's Medical History & Physician's Statement Form

Authorization for Emergency Medical Treatment Form

Participant’s Consent for Release of Information (Katie Beckett funding requirement only)

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Mail Completed Assessment Form Package to:       

 

Greenlock Therapeutic Riding Center

55 Summer Street

Rehoboth, MA 02769

 

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Last revised: July 31, 2006