There are several ethical and legal considerations that relate to risk management in the practice of equine-assisted counseling and psychotherapy (EACP). Although some considerations are not unique to EACP, this modality presents unique challenges that would not be encountered in a traditional office-based setting. This chapter presents a review of risk management strategies related to a variety of topics. The chapter first discusses considerations related to client confidentiality, privacy, and therapist-client privilege in EACP. Next, the chapter discusses the use of informed consent and a voluntary waiver and release form. Following this discussion, the chapter presents an overview of clinical documentation in EACP and maintenance of equine files. Finally, the chapter closes with a discussion on the types of insurance needed for practicing EACP.