Service Dog Application

Guardian Angels Medical Service Dogs trains service dogs to mitigate the challenges of several conditions, including PTSD (Post-Traumatic Stress Disorder); Traumatic Brain Injury; seizure & diabetic disorders, mobility issues and much more. We have a comprehensive and thorough application process to qualify our recipients. This form is the first step in qualifying for our program. If interested in starting the application process, please complete the information on the form and one of our inquiry team members will be in contact with you via email.

    First Name (required)

    Last Name (required)

    Your Email (required)

    Confirm Email Address

    Address


    City

    State

    Zip

    Day Time Telephone

    Cell phone

    Preferred Contact Method EmailDay Time TelephoneCell Phone

    How could a Service Dog assist you?:

    Are you a: VeteranFirst Responder*Civilian

    *Please note that we classify first responders as: Police, Fire and EMS only.