Template For Service Dog Letter

You can open the Template For Service Dog Letter in multiple formats, including PDF, Word, and Google Docs.

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Template For Service Dog Letter

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Examples

Template For Service Dog Letter (1)
From:
[Name of the Healthcare Provider]
[Provider’s License Number]
[Provider’s Address]
[Provider’s Phone]
[Provider’s Email]
To:
[Name of the Recipient]
[Recipient’s Address]
Subject:
Letter of Recommendation for Service Dog.
Date:
[Date]
Introduction:
I am writing this letter to confirm that [Name of Client] has a disability that requires the assistance of a service dog. This letter serves as a formal recommendation for the use of a service dog as a necessary part of the individual’s treatment and support plan.
Diagnosis:
[Description of the Client’s disability, including specific details related to how it impacts their daily life].
Recommended Service Dog:
It is my professional opinion that a service dog is necessary for [Name of Client] to assist with [Outline specific tasks or support the dog will provide].
Training and Certification:
The recommended service dog must be appropriately trained and certified to perform these tasks. This includes [List necessary training and certification requirements].
Conclusion:
I urge you to recognize the critical role a service dog will play in [Name of Client]’s life and support their need for this assistance. Please feel free to contact me for any further information or clarification.
Sincerely,
[Signature of the Healthcare Provider]
[Name of the Healthcare Provider]
Template For Service Dog Letter (2)
From:
[Name of the Therapist]
[Therapist’s License Number]
[Therapist’s Address]
[Therapist’s Phone]
[Therapist’s Email]
To:
[Name of the Recipient]
[Recipient’s Address]
Subject:
Recommendation for Service Dog Support.
Date:
[Date]
Overview:
This letter is intended to provide a formal recommendation for [Name of Client] to have a service dog as part of their therapeutic and daily support system.
Client’s Needs:
Due to [Explain specific conditions], [Name of Client] will benefit significantly from the presence of a service dog to assist in [Describe the specific tasks or emotional support required].
Functionality:
The service dog will help with [Explain how the service dog will assist]. This includes [List specific assistance required from the dog].
Verification:
I am happy to verify that the service dog will be essential for [Name of Client]’s ongoing support and treatment. It is advisable that the dog undergoes appropriate training and certification to ensure it meets the necessary requirements to assist effectively.
Close:
I respectfully request that you consider this recommendation for [Name of Client]’s health and wellbeing. Should you require additional details, please do not hesitate to reach out.
Sincerely,
[Signature of the Therapist]
[Name of the Therapist]

Template Online

Format

Please complete the form below to create the Service Dog Letter Template. All fields must be filled out to ensure a clear and complete representation of your service dog’s role and qualifications. We provide examples to guide you through each step.

Service Dog Letter Template

1. Handler Information


2. Dog Information


3. Service Dog Certification


4. Functions and Tasks

5. Medical Necessity

6. Contact Information for Verification


7. Expiration of Letter

8. Signatures and Acknowledgment

9. Declaration and Signatures



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Printable

Template For Service Dog Letter

Printable | Editable Form

PDF 1 PDF 2

Template For Service Dog Letter