The following forms are available to our current riders for your convenience:
Rider Application – complete only upon request.
Physician Assessment Form – complete only upon request.
Financial Assistance Form – complete to apply for financial assistance as applicable.
All forms except for the Physician Assessment can be filled out and submitted electronically (by clicking on the submit button at the end of the document) as well as via fax or in person. They Physician Assessment must be completed by a Physician and faxed or delivered to ManeGate. If you have any questions, please do not hesitate to contact us at 496-742-9611 or ewintory@manegait.org