Join Our Waitlist! – Healing Tails Service & Therapy Dogs

Join Our Waitlist

Are you looking for a Psychiatric Service or Therapy dog?

Please note that if you are looking for a therapy dog for an institution, school, or university, there is an alternate form to fill out. Please contact us directly at [email protected] or call us at (619) 333-6659.

If you're inquiring for a Therapy Dog, please state your reasoning for wanting to acquire or train a Therapy Dog.

Are you looking to train a dog you already own? If yes, please provide the age, sex, breed of your dog.

Name of Primary Handler

First Name

Last Name

Age and DOB of Primary Handler

If the Primary Handler is different from the Recipient, please provide the name and age of the Recipient, their qualifying disability, and ability or inability to self-manage a dog.

Phone

Address Line 1

Address Line 2

City

State

ZIP Code

Character Reference Name (First & Last) and Phone Number

Do you rent or own your place of residence?

Are all members of your household in agreement with obtaining and training a service animal?

Have you and/or Recipient (if different) trained your own dog before?

Has Recipient ever been diagnosed with a psychiatric disability? (This may sound more serious than you think. Even depression and anxiety are diagnoses.)

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