Therapy Dog Visitation Log
Electronic Filing
USATD
Location of Visitation *
Your answer
Date of Visit *
MM
/
DD
/
YYYY
Start of Visit *
Time
:
End of Visit *
Time
:
Total Time Including Drive Time in Decimal Hours (e.g. 2.25 hours) *
Your answer
Handler's Name *
Your answer
Therapy Dog's Name *
Your answer
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