Facility Update Form

As a Good Dog Partner, we need your help updating our records and making sure we have the most up-to-date information. Your input will help us best prepare the highly trained and certified volunteer therapy dog teams we provide for you.

Please take a few minutes to complete this form. We appreciate your time and continued partnership.

Facility Information

Official Facility Name *

Website

Facility Address *

City *

State *

Zip Code *

Contact Information

Please provide details of a contact at your facility that we will be able to reliably communicate with in order to schedule visits, confirm availability, as well as update your facility information.

Primary Contact Person

First Name *

Last Name *

Title *

Email Address *

Work Phone Number * 🛈

Secondary Contact Person

First Name *

Last Name *

Title *

Email Address *

Work Phone Number * 🛈