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Therapaws Pet Therapy Visit Request Form
To request a visit from our Therapaws Team, please fill out the short questionnaire below.
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* Indicates required question
Your Name
*
Your answer
Facility Name (if not applicable please write N/A)
*
Your answer
Facility Address, including City
*
Your answer
Email address
*
Your answer
Phone number to reach you at
*
Your answer
Please choose the type of visit you are looking for:
*
Pet a Pet
School Visit
Read Program
Care for the Caregiver
CARe/hospital visit
Event
Other - if your visit doesn't fall under one of the categories above check here
TheraGrams
*Please note that all requests must be a minimum of two weeks in advance.* What is the time frame of your request?
*
2-3 weeks out
1 month out
More than 1 month out
Required
What type of setting would the visit take place in:
*
Individual visits
Room to Room visit
Group visit
If this is a group visit, how many people are in your group?
Up to 5
5-10
10-20
20+
Clear selection
Do you have a preferred day of the week for the visit(s) - choose all that apply
*
No, we're open to what works for you
Any day of the week
Mondays only
Tuesdays only
Wednesdays only
Thursdays only
Fridays only
Saturdays only
Sundays only
Required
Do you have a preferred time frame for the visit(s) - choose all that apply
*
No, we're open to what works for you
Weekday mornings (8a-12p)
Weekday afternoons (12p-5p)
Weekday evenings (5p-8p
Weekend mornings
Weekend afternoon/evening - events only for this option
Required
Thank you for your interest in hosting our Therapaws Teams!
We will be in contact with you shortly.
-Andrea Wendlandt, Pet Therapy Program Manager
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