Forms
 

Please note: We are not accepting new participants into our programs at this time as we are full to capacity. If you would like to join our waitlist, please click here.

 

If you are currently enrolled in a program at Furnace Brook Farm and have been asked to complete your registration paperwork, please complete and submit the following forms. You may also print and complete a hard copy of your forms when you come for your first visit to Furnace Brook Farm. Things to note:

  • There are 4 forms to complete in order to register. They are listed in Step 1 - Step 4 below.

  • Step 1 - Step 3 forms may be completed and submitted online. Click the red "online" buttons below.

  • The Step 4 form -  "Therapeutic Riding Physician Paperwork must be printed and brought to the participant's physician to be completed.

  • Your online forms (once completed) may be printed out for your records. Look for the printer icon at the end of each form.

  • Printed forms may be mailed to: Furnace Brook Farm, 253 Sandy Hill Drive, Marshfield, MA 02050 Attn: Erin Van Steenburgh.

  • Therapeutic Riding Physician Paperwork (Step 4) should be mailed to Furnace Brook Farm.

STEP 1: Therapeutic Services General Information

Choose ONE option:

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STEP 2: Medical Treatment Authorization

Choose ONE option:

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STEP 3: Photo & Publicity Release and
Liability Release

Choose ONE option:

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STEP 4: Therapeutic Riding Physician Paperwork

Choose ONE option:

NOTE:
Step 4 must be printed and completed by participant's physician. This cannot be completed online.

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