604.2-E1 Checklist of Documentation Required for Use of Professional Therapy Dogs

CLICK HERE TO DOWNLOAD THE CHECKLIST


Name of Professional Dog Owner: _________________________________________

Name of Professional Dog Handler: ________________________________________

Name of Professional Therapy Dog: ________________________________________

Building in which therapy dog will work: ______________________________________

____Administrative Approval:
A signed statement reflecting administrator approval for use of a professional therapy dog.

_____Health Records:
A copy of annual vaccinations and exams signed by a licensed veterinarian including a photocopy of the rabies certificate. It is expected that all owners/handlers will use year-round preventative medication for heartworm/external parasites.

  • Rabies, five-way Parvo/Distemper, and Bordetella vaccinations
  • Comprehensive wormer or fecal check
  • External parasite control (Frontline Plus is recommended)

Note: for dogs less than one year of age, or receiving their first Parvo/Distemper and rabies vaccination, follow-up vaccines will take place in one year. For all other dogs, these vaccinations will take place every three years.

_____Public Access Test: Certificate verifying the owner/handler and dog have passed.

_____Current Certification Date: _________________________________________

Signature of Professional Dog Owner/Handler: ________________________________ Date: ________________

Signature of Building Administrator: _______________________________________ Date: ________________

Signature of Executive Director of Student Services: ____________________________ Date: _________________

 


Adopted: 8/17
Reviewed: 4/18; 6/21; 2/24
Related Policy: 604.2; 604.2-E2