Equine-Assisted Therapy Emergency Contact Form

Equine-Assisted Therapy Emergency Contact Form Template

Equine-assisted therapy programs require detailed participant information to ensure safety, match appropriate horses with clients, and design effective therapeutic interventions. This Equine-Assisted Therapy Emergency Contact Form helps mental health professionals, therapeutic riding centers, and wellness facilities collect critical intake data—from emergency contacts and medical conditions to riding experience and emotional regulation goals.

Why This Form Matters for Equine Therapy Programs

Running a safe and effective equine-assisted therapy program means knowing your participants inside and out. You need to understand their physical health, emotional needs, comfort level around horses, and who to contact in an emergency. Traditional paper intake packets often get lost, filled out incompletely, or buried in filing cabinets when you need them most.

This Paperform template streamlines the entire intake process into one professional, mobile-friendly form that participants can complete before their first session. Conditional logic shows relevant questions based on previous answers, automated email confirmations keep everyone informed, and all responses flow into your practice management system or CRM automatically.

Who This Template Is For

This form is designed for:

• Therapists and counselors offering equine-assisted psychotherapy (EAP) or equine-facilitated learning
• Therapeutic riding centers providing mental health and wellness programs
• Equine therapy programs at treatment centers, hospitals, and wellness facilities
• Mental health professionals incorporating animal-assisted interventions
• Coaches and facilitators running equine-guided leadership and personal development programs
• Nonprofit organizations offering equine therapy for veterans, at-risk youth, or trauma survivors

Whether you're a solo practitioner or managing a team at a larger facility, this template helps you collect consistent, complete information from every participant while maintaining HIPAA-friendly practices through secure data handling.

What This Form Collects

The template is thoughtfully organized to gather:

Participant Information: Full name, date of birth, contact details, and guardian information for minors

Emergency Contact Details: Multiple emergency contacts with phone numbers and relationships—critical when working with horses and outdoor environments

Medical & Health Screening: Current medications, allergies (especially horse and hay allergies), physical limitations, and conditions that might affect participation

Horse Experience & Comfort Level: Previous riding experience, comfort around large animals, and any fears or concerns about horses

Mental Health & Therapeutic Goals: Current emotional challenges, therapy objectives, emotional regulation goals, and what participants hope to gain from equine-assisted therapy

Safety & Consent: Acknowledgment of risks, emergency medical authorization, and photo release for program documentation

How Paperform Elevates Your Equine Therapy Intake

Unlike static PDFs or generic form builders, Paperform gives you a professional, on-brand intake experience that:

• Adapts as participants respond: Conditional logic reveals follow-up questions only when relevant (e.g., asking about specific allergies only if they indicate an allergy concern)
• Works beautifully on any device: Families can complete the form on their phone while their child is getting ready for the first session
• Saves time with calculations: Automatically calculate age from date of birth or tally risk assessment scores
• Syncs with your existing tools: Send intake data directly to Google Sheets, Airtable, your CRM, or practice management software
• Maintains confidentiality: SOC 2 Type II compliance and secure data handling protect sensitive health information
• Creates a better first impression: A polished, easy-to-complete form reflects the quality and professionalism of your program

Automate Follow-Up with Stepper

Once someone submits their intake form, the real work begins—and that's where Stepper comes in. This AI-native workflow builder lets you automate everything that happens after "Submit":

• Send a personalized welcome email with program details, directions to the facility, and what to bring
• Create a client record in your practice management system with all intake details
• Notify your equine therapy team about the new participant and flag any special considerations (allergies, fears, mobility concerns)
• Schedule a pre-program consultation call or orientation session
• Trigger different onboarding sequences based on experience level or therapeutic goals
• Add the participant to your email newsletter or program updates list

Stepper connects Paperform to thousands of apps without code, so your intake process runs smoothly from first contact through ongoing care.

Customize for Your Unique Program

Every equine therapy program is different. Use Paperform's intuitive editor to:

• Add your facility's logo, brand colors, and background imagery of your horses and grounds
• Include video introductions to your therapy horses or facility tour
• Adjust questions to match your specific therapeutic approach (PATH-certified programs, EAGALA model, or custom frameworks)
• Add payment fields if you're collecting session fees or program deposits
• Include additional assessments or screening tools specific to your population
• Embed the form on your website or send it via custom link

The form works like editing a document—just click, type, and format exactly how you want it.

Built for Mental Health and Wellness Professionals

Whether you're a licensed therapist, certified therapeutic riding instructor, or wellness coach, this template helps you gather the critical information you need while creating a welcoming, professional first touchpoint with clients and their families.

Paperform is trusted by over 500,000 teams worldwide and is SOC 2 Type II compliant, ensuring your participant data is handled securely. While Paperform is not HIPAA compliant, it offers the security features and data controls that mental health professionals need for safe, confidential intake processes.

Get Started in Minutes

Start with this template, customize it for your program, and begin collecting complete, organized intake information from every participant. With Paperform, you'll spend less time chasing missing forms and more time doing the transformative work that equine-assisted therapy makes possible.