Application Request Form
Please complete the application request form in its entirety. All fields are "Required"
before you can submit the application request.
Once America's VetDogs receives your application request form, it will be reviewed to determine if you are eligible to participate in our program. Please note that completion of the following application request form does not guarantee acceptance as a client at America's VetDogs.
All information provided is privileged and will be considered confidential.
For Screen Reader Users:
The application below includes a number of fields. You will be required to use the "Tab" button, "Arrow" keys or other keys specific to your screen reader in order to navigate through the application.
Once you submit your application, you should be directed to a message that verifies that we have received your application. If you are not directed to that page, you will be re-directed to the top of the application where you will find a list of fields that must be completed before you will be able to submit your application.
If you cannot navigate the form, or your browser does not support forms, please contact Consumer Services for assistance at ConsumerServices@VetDogs.org
or call (866) 282-8047. A Word Document application is available by request.