Therapeutic Riding/Driving Forms:

Please note that the follow forms are available in hard copy and can be filled out in person or mailed/emailed upon request.

   New participant paperwork package     For those interested in UpReach programming. Must be completed by participant or parent/legal guardian.

New participant paperwork package

For those interested in UpReach programming. Must be completed by participant or parent/legal guardian.

   Handbook    Everything you need to know including eligibility, discharge guidelines, payment, makeup policies, and more.

Handbook

Everything you need to know including eligibility, discharge guidelines, payment, makeup policies, and more.

 
   Scholarship application    If you require financial assistance to help pay for fees, please complete this form in entirety.

Scholarship application

If you require financial assistance to help pay for fees, please complete this form in entirety.

   Annual information update    UpReach needs to keep our files current. Please complete this form annually and inform us of any medical changes.

Annual information update

UpReach needs to keep our files current. Please complete this form annually and inform us of any medical changes.

   Physician statement update    We require your medical information be updated annually to ensure it is safe and appropriate for you to participate!

Physician statement update

We require your medical information be updated annually to ensure it is safe and appropriate for you to participate!

 

I Have questions:

Should you have any questions/concerns regarding the application process, forms, or if you wish to arrange a visit, check on the wait list status, please fill out the form to the right or give us a call at 603.497.2343. Thank you!

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Name
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Phone
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