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New Life K9s PO Box 4412 San Luis Obispo, CA 93403 8055445433 www.NewLifeK9s.orgApplicant Medical History Form This form is to be completed by your physician and sent by him/her directly back to New
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How to fill out assistance dog medical application
How to fill out assistance dog medical application
01
Gather all necessary medical records and documentation from your healthcare provider.
02
Fill out the personal information section with your name, address, and contact information.
03
Provide details about your disability and how an assistance dog can help improve your quality of life.
04
Include any information about previous experience with assistance animals, if applicable.
05
Have your healthcare provider sign and date the application to certify your need for an assistance dog.
Who needs assistance dog medical application?
01
Individuals with disabilities who can benefit from the assistance of a trained service dog.
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What is assistance dog medical application?
Assistance dog medical application is a formal request for a dog to be recognized as an assistance animal by providing necessary medical documentation.
Who is required to file assistance dog medical application?
Individuals who need their dog to be recognized as an assistance animal and have the necessary medical documentation are required to file the application.
How to fill out assistance dog medical application?
To fill out the assistance dog medical application, individuals need to provide their personal information, details about the dog, and relevant medical documentation.
What is the purpose of assistance dog medical application?
The purpose of the assistance dog medical application is to officially recognize a dog as an assistance animal based on medical need.
What information must be reported on assistance dog medical application?
The information reported on the assistance dog medical application includes personal details, dog information, and necessary medical documentation.
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