Rider Forms and Online Payment

The following forms are available to our riders for your convenience:

New Rider Application Form – to be completed by each new rider applicant.

Session Registration Form – complete for each session.

Rider Information Update – complete yearly prior to the Fall Session (September).

Rider Consent Forms – complete upon request.

Physician Assessment Form – complete before your initial assessment and then yearly prior to the Fall session (September). The Physician Assessment must be completed by a Physician and faxed or delivered to ManeGait.

Financial Assistance Form – complete to apply for financial assistance and yearly prior to the Winter session (January).

Information Release Form – complete to request rider progress notes or other information to be released to an outside source.

If you would like to pay your rider fees online, please click here to go to our secure payment processor. Please do not hesitate to contact us at 469-742-9611 or lwyatt@manegait.org if you have any questions.