RIDER APPLICATION

Step 5. Physician Form

This is final but important step! Click the button below to print this form and bring it to the applicant’s physician to be filled out and signed by the physician. The completed form can be scanned and submitted via email to program@ctreeny.org. If you do not have a scanner you can download the free Adobe Scan app for either iPhone/Apple Store or Android/Google Play on your mobile device.

Please note: The rider evaluation can not be scheduled until all forms, including the Physician Form, are submit. Once we have receive all five forms we will contact you about the evaluation.

Thank you for applying to ride at CTREE! We will get back to you as soon as possible. If you have any questions don’t hesitate to reach out to us at program@ctreeny.org or 631.488.0142.