Ponies As Partners - Therapeutic Riding, Inc.

A Non-Profit Organization

Consent Forms

Ponies as Partners is currently accepting new clients.  Scheduling is flexible.  Please call Sabina Silvia at 401-683-9437 or e-mail us at Sabina@poniesaspartners.org

While not required for the first visit, the following needs to be completed and returned prior to final acceptance into our program.

  1. Participant’s Application and Health History
  2. Authorization for Emergency Medical Treatment Form
  3. Participant’s Medical History & Physician’s Statement
  4. Release and Hold Harmless Agreement (Waiver)

Please print out, complete and mail the above forms to:

Ponies As Partners - Therapeutic Riding, Inc.
516 Third Beach Road
Middletown, RI 02842

Please Note:  The Participant’s Medical History & Physician’s Statement form must be completed by your physician only.