In the Czech Republic, hippotherapy has been applied by healthcare professionals for more than 30 years. The education system has been well developed with the focus on a complex understanding of horse movement and behaviour, human development and movement, hippotherapy principles and treatment strategies. This methodology was created in 2015 to certify the hippotherapy course within the Czech Ministry of Health. However, the process is still ongoing, but the methodology facilitated creating hippotherapy courses in English. It is intended for therapist practising hippotherapy or hippotherapy students. There are 50+ photos of the hippotherapy positions in a horse, equipment, therapeutic aids and forms.