Wait List | Green Hill Therapy

Parent's Name *

Child's Age *

Email Address *

Phone Number *

Can We Text The Number Above? *

Type of Therapy Needed *

Keep in mind that wait times for each type of therapy vary. Minimum wait time is 6 months, but more typically is a year.

Will Your Child Be Doing Hippotherapy (horse) *

Days & Times Available *

NOTE: Please do not send any sensitive medical information. Also, morning slots open up sooner than afternoon appointment times.

Insurance Company Name - Choose One *

Wait List Contact Form