Therapy Dog Certification Company and ID number if applicable. If not, write N/A currently in training. *
Your answer
Are you currently, or have you previously trained with Chris Nolting? *
Required
Is the dog certified to work with? Please check all that apply.
Is the dog up to date on all shots and vaccines? *
Required
How often do you think you will be able to visit? *
Required
Are you aware of and understand HIPAA Privacy Laws?
HIPAA - the federal Health Insurance Portability and Accountability Act - provides protections for patients' privacy rights.
Would you be willing to attend Parades and Operation K9 Beethoven Events? *
Required
Are you comfortable with yourself and your dog being photographed and posted to Operation K9 Beethoven's media pages? i.e. website, facebook, instagram, twitter, tiktok, etc.
Are you comfortable with visiting severely disabled patients? *
Required
Please fill out this section if you did NOT train with Chris Nolting. Please provide three references from Veterans homes, rehabilitation centers, hospitals, etc. that you have visited with your therapy dog. *
Your answer
To the best of your knowledge, has this dog ever bitten anyone?