Service Dog Application Request

To inquire about our service dogs or to request a preliminary application packet, please complete the following questionnaire

A little information recap before the questionnaire...

As previously stated on the Service Dog page

On average, there is a 12-24 month wait for a service dog. We do not have any dogs "ready now", however, sometimes we have young dogs in training that may not be contracted yet.

I am sorry, there is not a set "menu" price for a service dog.

The price of a finished service dog is based on the dog, the type of tasks, the number of tasks, if any additional harnesses are needed, etc..

We will not train your pet to be a service dog.

You must be 21 years of age to move forward with a contract. If you are between18-21, a parent must complete the contract if the application is approved.

We do not offer any financial assistance or grants. We do help our customers with their fundraisers they have going for their service dog in training.

We only train Seizure Detection and Seizure Response for Grand Mal / Tonic Clonic Seizures.

We do not train seeing eye dogs

You must be at least 18 years of age to complete the form below and request an application.

Request for service dog preliminary application

First name

Last name

Street Address

State

City

Phone

What is your relationship to person needing dog

Name of person needing the dog

Birthday of person needing the dog required

Dog Allergies Yes/No

Primary Diagnosis

Only one Scent Trained task is allowed (Seizure Detection for Grand Mal Seizures OR Diabetic Alert detection)

We only will train 4 Service Tasks, Please only identify your top four tasks needed. Check this box in acknowledgement.

* If one of your TOP Four service tasks you are interested in was not included in the drop down list - please add it here

How do you envision a service dog helping or assisting you/the handler

Do you have social media? if yes please provide info

Anything additional you would like to share

If you are needing a Seizure detection task, How often do you experience Grand Mal / Tonic Clonic Seizures, if not applicable please put N/A

If you are needing a mobility service dog, please identify the handlers approximate height and weght here - or put N/A

I understand Loyal Companios will not train my pet dog as service dog

I understand Loyal Companios does not offer any financing or grants (financial assistance) toward the purhcase of a finished service dog.

If I am NOT 21 years of age - I understand I will need a parent/gardian complete the application packet and contract.

Please be aware - The submit button will not work unless all questions are answered

Thank you! We’ll be in touch.