Call Us: (410) 970-2400

Forms and Paperwork

If you have any questions or concerns about your paperwork, please call us at (410) 970-2400. All packets and forms below are PDFs, and must be downloaded and completed electronically or by printing and filling them out. Please make sure you fill out the forms with as much accurate information as you can.

Completed forms can be faxed to (410) 774-4090 or emailed to info@unbridledrehab.com. Thank you!

For those looking to participate in equine-assisted therapies which may include hippotherapy or unmounted activities involving the horses, please print and complete the below packet.

2017 HPOT New Client packet

If you are looking for clinical services including physical, occupational or speech therapy, please print and complete the below packet.

Clinical therapy packet

For current clients or recent returning client who need to complete an update form, please print and complete the below packet.

Hippotherapy UPDATE packet

Note: The medical history/physician referral form must be completed and signed by the referring physician PRIOR to your first visit. If you wish to go through your insurance for payment of services, you must also have a separate script for the type of therapy to be received (ie PT/OT/SPEECH, “Evaluate & Treat”) as required by most insurance companies for proper reimbursement of services.