Rise Canyon logo with a mountain silhouette and the text “RISE CANYON”
  • About
    • Our Mission
    • Our Staff
    • Our Animals
    • EAP & EAL
    • Testimonials
  • Programs
    • Rising Resilience
    • Military
    • Rising Readers
    • Stable Steps
    • Rise in Strides
    • Workshops
    • Horsemanship
    • Volunteers
    • Scholarships
  • Resources
    • Client Forms
    • Why horses?
    • FAQ
  • Events
  • Blog
  • Pay
  • Contact
DONATE
DONATE
  • About
    • Our Mission
    • Our Staff
    • Our Animals
    • EAP & EAL
    • Testimonials
  • Programs
    • Rising Resilience
    • Military
    • Rising Readers
    • Stable Steps
    • Rise in Strides
    • Workshops
    • Horsemanship
    • Volunteers
    • Scholarships
  • Resources
    • Client Forms
    • Why horses?
    • FAQ
  • Events
  • Blog
  • Pay
  • Contact

Client Forms

Download and complete the forms for your age group. Please bring them with you to your first session.

Woman gently strokes a brown horse’s face outdoors while another hand holds the bridle.

For clients 18+

  1. Intake Form (Adult)
  2. Informed Consent 
  3. Release of Liability (Rise Canyon Ranch)
  4. Notice of Privacy Practices (HIPPA) – READ ONLY
  5. Acknowledgement of Privacy Practices
  6. Authorization to Exchange PHI
  7. Debit / Credit Authorization
  8. Cancellation Policy

For clients under 18

  1. Intake Form (Child)
  2. Informed Consent 
  3. Release of Liability (Rise Canyon Ranch)
  4. Notice of Privacy Practices (HIPPA) – READ ONLY
  5. Acknowledgement of Privacy Practices
  6. Authorization to Exchange PHI
  7. Debit / Credit Authorization
  8. Cancellation Policy
Child in red top walking a brown calf on a leash in front of a trailer.

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DONATE

Rise Canyon Ranch is a non-profit 501(c)(3) that provides equine-assisted psychotherapy (EAP), which utilizes the unique emotional connections of horses to engage children, teens and adults in healing, self-discovery and enrichment.

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Donations are fully tax-deductible.
Federal tax ID #82-4700130.

LOCATION

Yavapai County, AZ: (928) 288-0780

Ranch location provided upon booking

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EMAIL

info@risecanyonranch.org

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MAILING ADDRESS (CORPORATE)
3419 E. Chapman Ave. Suite 346

Orange, CA 92869

714-686-2524

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MAILING ADDRESS (AZ)

1021 N. State Rte 89, Suite 141

Chino Valley, AZ 86323

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Please contact us for our facility location.

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All Rights Reserved

RISE CANYON RANCH | Privacy Policy