Therapy Dog Application Form

Extra Details
Extra information on why you are applying for a therapy dog.
Please list any relevant disabilities or mental health challenges:
Does the person needing the therapy dog have any other medical conditions?
If yes, list the other medical conditions here:
Make a list of any relevant medical conditions
Is there anything else you would like us to know?
If Applying For An Emotional Support Dog
Has the person needing the therapy dog been diagnosed by a psychologist, therapist, psychiatrist or other certified mental health professional?
If you have a supporting letter from a health care practioner then please upload it now. You can also email it to us at a later date.
Drop files here or

Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 100 MB.
Please upload the file in a jpg, png, pdf, doc, or docx file type.

Living Arrangements
Are you able to live independently?
Do you live alone?
How many other people live in your household?
Are any members of your household or family allergic to dogs?
Does everyone in your family agree to acquiring a therapy dog?
Do any other members of your family have a disability or mental health issues?
What changes are you hoping a therapy puppy will make to your disability, your child and / or your family life?

Requirements
Are you able to commit 1 - 2 hours each day to exercise and maintain the training of your therapy dog?
Please make any supporting comments here:
Please note that along with the inital costs for purchasing and training your therapy dog, there will also be ongoing expenses. The average cost to own a therapy dog per year is $3,900 (this covers expenses like dog food, veterinary care, worming/flea treatment, professional grooming, council registration, pet insurance etc). For example, the on-going cost for professional grooming / clipping of a Labradoodle every 8 weeks for its life-time is an average cost of $65-$85 per grooming session depending on location
Please tick the box agreeing that you have read the above statement and you understand it
- I have read and agree to commit to training and ongoing costs associated with a Therapy Dog.
Do you own your own home or rural property?
Is your property fully fenced, secure and dog proof?
What height is your fence? What type of fencing do you have? (e.g open mesh, solid wooden)

DAILY ROUTINE
How many hours a day will your therapy puppy be left alone each day?
Can you take your therapy puppy to work?
How Often?
What type of working environment will the puppy be in? (eg office setting, factory, classroom)
If you receive a therapy dog, then please list the types of outings and situations you would like to take the therapy dog.
For Example: Shopping malls, long walks, beaches, bush walks, playgrounds, swimming pools, riding for the disabled, market days, holidays to specific locations, sports grounds, indoor sports arenas, schools, library, movie theatre, music lessons, restaurants, cafes, physiotherapy, hospital appointments etc.

Labradoodle Preferences
Do you prefer a medium or standard sized Labradoodle?
Do you prefer male or female therapy puppy?
Please note: Your therapy puppy will be de-sexed at a young age so many male dog tendencies will not be an issue in the future. Also, in our experience, de-sexed males are more laid back and more trainable and more male puppies are also available from breeders and our suppliers for our programme.
Do you have any specific colour preferences? (Please Select the colours you would be happy to receive in order of preference)
Your colour choices include: black, chocolate, caramel, red, mixed colour or any.
Please note: Due to mother-nature, sizing and colouring varies from litter to litter and we don’t always have a choice in the colours we have available.
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Application Details