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Running Your Practice6 min readUpdated 2026-06-24
NewPublished 24 Jun 2026

How to Start an Outdoor Therapy Practice?

A starter guide for therapists planning to offer outdoor, walk-and-talk or nature-based therapy in a professional practice.

This article is educational guidance for general understanding. It is not clinical advice, legal advice or a substitute for training, supervision or professional judgement.

Start with your scope of practice

Before offering outdoor therapy, be clear about your professional role, training, insurance, supervision arrangements and the type of work you are competent to provide outside.

Outdoor work can feel informal, but it still needs professional structure. Your client agreements, consent process, boundaries and notes should reflect the setting.

Choose locations carefully

Begin with a small number of familiar locations. Consider access, parking, toilets, seating, route length, terrain, privacy, mobile signal, weather exposure and emergency access.

A location that is beautiful may not be suitable for therapy. The best starting places are often simple, predictable and easy to adapt.

Build a repeatable workflow

A practical outdoor therapy workflow might include client suitability questions, consent forms, location notes, route options, risk assessments, appointment records, safety check-ins and post-session notes.

Using a consistent system helps therapists reduce cognitive load and avoid relying on memory for important practical and clinical decisions.

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