Take the next step

Stablemindz offers Perth organisations and their clients a viable, life enhancing alternative to more conventional psychotherapy interventions. We successfully work with a number of providers and welcome the opportunity for your clients to experience similar benefits to our current horse loving friends.

Simply complete the form to find out how our nature based Equine Assisted Therapy may work for you or your clients.

We’ll be in touch as soon as we’ve back from our time with Bijou and Pepito.

PS: Please be aware there is no wheelchair accessibility and we only cater for the needs of people over the age of 13+.

Name

First Name

Last Name

Email

Phone number

Message

Address

Address 1

Address 2

City

State/Province

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Age

Emergency contact name

First Name

Last Name

Phone number

Guardian (if applicable)

First Name

Last Name

Are you a NDIS participant?

NDIS number

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Self or Plan managed

GENERAL MEDICAL/MENTAL HEALTH INFORMATION

Any allergies, medications ,physical or medical issues we need to be aware of?

What are your hopes or goals for sessions?

What are your supports (i.e. family , friends , groups, agencies etc..)

CONSENTS

I understand that my personal and medical information is confidential and will only be disclosed to third parties with my permission *

I agree

CONFIDENTIALITY

All sessions are confidential. You are free to discuss anything with your practitioner and know that your personal information will not be shared. Please note there are three exceptions to the above confidentiality agreement 1. When disclosure is required to prevent clear and imminent danger to yourself or others. 2. When legal requirements demand that confidential material be revealed 3. You agree to inform your practitioner if you come under the care of any health care professional such as a psychotherapist, psychologist, counsellor, mental health social worker, psychiatrist or related professional during the course of our EAL relationship. If you are under this type of medical or psychological treatment, you must provide written permission from your practitioner stating their permission for you to attend EAL sessions

I agree