If you require a Service Dog, as directed by a physician, and you would like to apply for one from Meliora Service Dogs, then please complete this intake form. If we are accepting applicants then our intake person will contact you with further inforamtion***.

 

***You will be required to submit a signed doctor's note, (prior to completing the application form), indicatiing the doctor's recommendation for a Service Dog and your medical diagnoses.

 

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