Forms

Information for Prospective Members  –  Contains a printable version of the information required for membership.

Registration & Requirement Form – Prospective CCC members must fill out this form  prior to the evaluation.  Please bring completed form to the evaluation.

Facility Visit Request Form – Form to be filled out by CCC member and facility requesting a therapy dog visit.  Form must be filled out and received by the Facilities Chair in order for a formal CCC visit to be permitted to take place.

Completed Form should be scanned and emailed to Facilities Chair Email

Photo Consent Form  – Form to be filled out if photographing a patient and/or person(s) interacting with a pet therapy dog/handler team. Completed forms should be scanned and emailed to the Webmaster.

CCC Visitation Log – Form to be filled out by the Handler and signed by the facility activities director/Manager when a CCC Therapy Dog Team (dog and Handler) make an official CCC Therapy Dog visit.

Completed forms should be scanned and emailed to the Membership Chair