Children’s TherAplay is the largest pediatric rehabilitative medical facility exclusively providing hippotherapy in the country. The needs assessment identified a need for hippotherapy resources to increase insurance reimbursement rates. The Hippotherapy Assessment and Evaluation Tool (HEAT) was trialed, implemented, and taught to therapists at the facility as well as creating a packet of information about why hippotherapy matters. Five patients were chosen using purposeful sampling to include a variety of diagnosis and ages. These patients were tested at the beginning and end of an eight-week period using the HEAT. There were significant improvements in the total HEAT scores with all patients. An educational presentation was provided to therapists to introduce the HEAT, provide details on efficiency, and receive feedback/concerns. Completing this assessment helped identify new deficits to target with patients and identify potential need for other services. Staff members were excited to utilize the HEAT as well the informative packet.