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Landings, Inc. 75 S. Mont ego Dr. Tucson AZ 85710 5203263412 Fax 5203198186 service landings.org Physicians Statement I, give my permission for the below named physician to release the (Patients Name)
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How to Fill out Physician's Statement - Handi-Dogs:

01
Make sure you have the necessary forms: Obtain a copy of the physician's statement form from Handi-Dogs or their website. Ensure that it is the most up-to-date version.
02
Provide personal information: Fill in your personal details such as your full name, address, contact information, and any other required identification details.
03
Describe your disability or condition: Clearly state your disability or medical condition for which you are seeking an assistance dog. Include specific details, diagnosis, and any relevant medical history.
04
Specify the tasks or functions the dog will perform: Indicate the tasks or functions the assistance dog will be trained to perform to assist you with your disability. For example, if you have mobility issues, you may require a dog that can retrieve dropped items or open doors.
05
Include any additional requirements or preferences: If you have any specific preferences or requirements for the assistance dog, such as the breed, size, or gender, mention them in this section. However, keep in mind that preferences may limit your chances of getting a match sooner.
06
Attach medical documentation: Support your application with any medical documentation or records that can substantiate your disability or condition. This could include medical reports, test results, or letters from healthcare professionals.
07
Have your physician complete the statement: Provide the physician's information and ask them to complete the necessary sections of the form. Ensure that they provide their medical license number and sign the statement.

Who needs Physician's Statement - Handi-Dogs?

01
Individuals with disabilities: Anyone who has a disability or a medical condition that could benefit from the assistance of an assistance dog may need a physician's statement. This could include individuals with mobility impairments, visual impairments, hearing impairments, autism, epilepsy, and various other conditions.
02
Those seeking to adopt an assistance dog from Handi-Dogs: Handi-Dogs is an organization that specializes in training assistance dogs and matching them with individuals in need. If you are interested in adopting an assistance dog from Handi-Dogs, you will need to provide a completed physician's statement as part of the application process.
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People looking for a certified assistance dog: In many cases, organizations or establishments may require proof of a disability or medical condition when allowing an individual to have an assistance dog. A physician's statement serves as official documentation that can validate the need for an assistance dog.
Remember, it's always important to consult with Handi-Dogs or any relevant organization to ensure you have the most accurate and up-to-date information on filling out the physician's statement for their specific requirements.
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The physician's statement for handi-dogs is a form filled out by a medical professional to verify the need for a service animal.
Individuals who require a service animal such as a handi-dog are required to have their physician fill out the statement.
The physician should provide relevant medical information on the form including the individual's condition and why a service animal is necessary.
The purpose of the physician's statement is to certify the need for a service animal and ensure that the individual meets the requirements for having one.
The physician must report the individual's medical condition, the need for a service animal, and how the animal will assist the individual.
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