top of page
Bridges at Worthmore
410.708.8973
Donate Now
HOME
ABOUT
Our Story
Meet The Team
Why We Work
Our Therapy Horses
Board of Directors
SERVICES
Adaptive Riding
Equine Assisted Psychotherapy
Equine Assisted Learning
Team Building & Leadership
Make a Therapy Referral
Adaptive Riding Application Form
Clinical Referrals
FUNDRAISING
Events
Ways to Donate
RESOURCES
FAQs
Program Fees
About PATH & EAGALA
Community Partners
GALLERY
Photo Gallery
Video Gallery
CONTACT
Get in Touch
Directions
EFPR FORM
Client Name
*
DOB
*
Age
*
Address
*
Phone
*
Diagnosis
*
Recommended Frequency and Duration of Sessions
Type of Format
*
Group Work
Individual Work
Family Work
Specific issues to address
*
Current treatment goals
*
Additional information
Submit
bottom of page
