Hope Haven is a non-profit, charitable organization that provides specialized equestrian programs for individuals with disabilities and diverse needs. Program options include adaptive riding, physiotherapy (hippotherapy), horsemanship and therapeutic recreation. In order to provide the safest and most effective programming possible, as well as to abide by our charitable status, we require a professional referral to indicate why this individual is appropriate, how they may benefit as well as to make sure their medical history does not place them at risk. This form may also be used to provide consent for a participant's return following a medical leave.
If your client has any physical conditions or medical concerns that may impact their participation at Hope Haven, you must be a physician or nurse practitioner completing this form.
If your client does not have any physical or medical concerns, you may fall under one of these titles: physiotherapist, occupational therapist, speech pathologist, social worker, psychologist, teacher or support worker.
Please review the list of contraindications and precautions below and highlight any that are relevant for your client. Please note that if their diagnosis requires proof of atlanto-axial stability, the results of the x-ray must be indicated on this form.
If you have any questions, concerns or would like to discuss your client in more detail, please contact Hope Haven office directly. You can also visit our website to learn about our programs, staff and CanTRA accredited facility.
Thank you for your time assisting your client on their way to achieving success at Hope Haven!
Program Manager & Physiotherapist