Apply for a Dog

Please answer the following preliminary questions so that we can verify whether you are eligible for a hearing dog. We will reply to you within 5 business days. 

If you are eligible we will mail you a an application with four pages of questions and two pages of instructions. We will also ask for a copy of your most recent hearing test, a photo, and a blueprint or drawing and photos of the residence where the dog will live.

Your Contact Information
Initial Application Questions