New Client/Participant Intake 2024
Welcome to Special Strides! We are very excited that you have contacted us for therapy services (physical therapy, occupational therapy, or speech therapy) adaptive riding or equine facilitated learning.  In order to facilitate a meaningful conversation regarding you or your child, please fill out this form so we can understand your needs prior to initiating a phone conversation.  We look forward to speaking with you and helping you on your journey.
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Name- Parent or Adult making inquiry *
Name- Child or client *
Email address *
phone number *
Date of Birth (of individual requiring services) *
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Is this for an adult or a child? *
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