Therapaws Pet Therapy Visit Request Form
To request a visit from our Therapaws Team, please fill out the short questionnaire below.

Sign in to Google to save your progress. Learn more
Your Name *
Facility Name (if not applicable please write N/A) *
Facility Address, including City *
Email address *
Phone number to reach you at *
Please choose the type of visit you are looking for: *
*Please note that all requests must be a minimum of two weeks in advance.* What is the time frame of your request? *
What type of setting would the visit take place in: *
If this is a group visit, how many people are in your group?
Clear selection
Do you have a preferred day of the week for the visit(s) - choose all that apply *
Do you have a preferred time frame for the visit(s) - choose all that apply *
Thank you for your interest in hosting our Therapaws Teams!
We will be in contact with you shortly.
-Andrea Wendlandt, Pet Therapy Program Manager
Clear form
Never submit passwords through Google Forms.
This form was created inside of Hinsdale Humane Society. Report Abuse