Shelter to Service Program Application

  • Prequal
  • Voluntary Disclosure
  • Emergency Contact Information
  • Description
  • Maintaining a Service Dog
  • Household Information
  • Pets & Veterinary Information
  • Service Dog Information
  • Complete

Please consider the below questions before proceeding to our official application. There is a $25 fee associated with the application.

Do you have a diagnosed psychiatric or physical disability that would benefit from the task(s) a service dog would provide?
Do you authorize the Northshore Humane Society service dog selection committee to review your pertinent medical information for the psychiatric service dog application process?
Do you understand service dog ownership is a long-term commitment?
That it's a commitment for th life of the dog,a nd includes up-to-date heartworm prevention, annual vaccinations, and routine training maintenance?

If you answered “no” to any of the above questions, our program is not the best fit for you and your needs. If you answered “yes” to the above questions, please consider proceeding to our official application.

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