Service Dog Application

In order to apply for an assistance / service dog, please fill out and submit the following form.

  • DO NOT COMPLETE THIS APPLICATION IF YOU ARE LOOKING FOR: Autism Dogs, ANY Medical Alert Dogs, PTSD, Emotional Support Dogs, Therapy Dogs or Facility Dogs. WE ONLY CONSIDER APPLICATIONS FOR MOBILITY ASSISTANCE DOGS!
  • PLEASE NOTE:
    As of January 2019 our waiting time from initial application approval to placement of an assistance dog is approximately 24 – 30 months.
Scroll to Top