Handi-Riders of Northern California

Client Forms:

     The following forms are for use by our clients who participate in the Handi-Rider program. Adobe Acrobat Reader is required to view forms.  Forms will open in a new browser window.

Authorization for Emergency Medical Treatment (789 KB)

Participant's Application - Health History (1 MB)

Partcipant's Medical History - Physican's Statement (2 MB)

Physical Therapy Assessment (449 KB)

Rider Registration Release (2 MB)

Rider Information Update Form (20 KB)