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Forms & Documents

All forms must be completed before your first session. Download, fill out, and return to Kelley at least 48 hours before your appointment.

Required paperwork
Download your forms
Forms open in a new tab. Return completed forms to Kelley via email or bring them to your first session.
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Participant Intake & Registration

Required for all new participants. Includes contact information, program interest, and emergency contacts.

Download PDF
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Medical History Form

Documents diagnoses, medications, and physician contact. Required for all participants before the first session.

Download PDF
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Photo & Media Release

Grant permission for photos/videos of your rider to be used for non-profit awareness and fundraising.

Download PDF
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Volunteer Application

Interested in volunteering? Complete this application to begin the onboarding and background check process.

Request Form
Important notes

Before your first session

Please return all required forms at least 48 hours before your scheduled session so Kelley has time to review your information and prepare the appropriate session plan.

If you have questions about any form, contact Kelley directly. Forms can be returned by email to kelleyih5@gmail.com.

Hippotherapy participants must also obtain a physician referral and submit it before the first session.

Questions? Contact Kelley
New participant checklist

What you need to bring

1. Complete Intake & Registration form
2. Complete Medical History form
3. Sign Photo/Media Release
4. (Hippotherapy only) Physician referral
5. Return forms 48 hrs before first session
6. Wear long pants and closed-toe shoes with a heel

Questions about the forms?

Kelley is happy to walk you through any paperwork and answer your questions.

Contact Kelley