Branch Of Service
Years of Service
Were you deployed during your Service?
Have you been formally diagnosed with PTSD
Can you provide medical documentation of diagnosis?
Have you completed any PTSD Therapy?
Have you completed or participated in any Service Dog Therapy or Training? If so, When and Where?
Do you have a stable home for a Therapy/Service Dog?
Are you financially capable of providing for Vet care and the necessary needs of a Service Dog?
Do you have a breed/size preference? if so why?
Are you willing to travel at your own expense to meet with the trainer for any required sessions to complete training and certification of the dog?
Do you have any restrictions that the trainer or Lane Logan Memorial should be made aware of?
What are your expectations from recieving a Service/Therapy Dog?
How do you think a Therapy/Service dog will improve your daily life?
Do you currently have any other pets?
What are some of your interests or hobbies?
Is there anything that you would like the trainer or Lane Logan Memorial to know about you that could affect the training or recieving of a Therapy/Service Dog?
Are you willing to sign a publicity waiver?
Are you willing to sign a repossesion waiver if the Therapy/Service Dog is reported or found to be neglected, abused or mistreated in any way?
Is there anything else you would like to add to help us be as proactive and helpful to you?