New Facility Application

New Facility Application

Please complete this form if you are a facility looking for OTD to provide therapy dog visits at your site on a regular basis. Please understand, due to high demand for animal-assisted activities and therapy programs, it can take quite some time (if at all) to start a program. Your application is also subject to a site assessment to determine your site's suitability for therapy dog visits and to mitigate any risks to the safety and well-being of our volunteers and their dogs. NOTE: You will need to re-submit this form if, after one year from your first submission, we have not yet found a team for you. This will keep our waitlist current and we will know that you still wish to have a therapy dog program at your facility.
Name of facility:
Address of facility:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Name of facility contact (please note this should be the individual coordinating the therapy dog visits at the facility):

First Name Last Name
Role of facility contact:
Email:
example@example.com
Phone Number:
Please enter a valid phone number.
Approximately how many people access the facility or program on a regular basis?
Please describe the demographic of patients/clients of the facility.
Describe the facility space where our therapy dogs would be providing visits (size/square footage of area, indoor/outdoor, and any other considerations).
Please indicate if any other animals may be present during our visits (including service animals).
Is food served at the facility? If so, please describe where food would be located in relation to our visiting space.
Is there anything else we should know about the facility or clients/patients? (i.e. accessibility requirements)
Is the area we will be providing visits accessed by the general public or limited to clients/patients/staff?
What is the frequency of visits you would like OTD to ideally attend (i.e. weekly, bi-weekly)? While we may be unable to provide the requested frequency at this time, this helps us for future planning purposes.
Please indicate the ideal days/times of visits:
Please provide alternative days/times of visits:
Are evening and/or weekend visits a possibility? Please indicate yes/no and if yes, when?
Is there free parking available on-site, and if not will parking be reimbursed for the volunteer teams?
Do you have a current policy and procedure in place for animals?
Do you have a current policy and procedure in place for visitors/volunteers?
Do you have resident animals?
Have you worked with animals in the past with your patients/clients?
Do you have permission for registered therapy dogs to be in the building?
Do you have a volunteer application that our therapy dog teams would need to complete?
Do you have a volunteer orientation that our teams would need to attend?
Do you require any vaccinations (COVID-19, TB Test, Flu)? If yes, please list requirements.
How did you hear about Ottawa Therapy Dogs?
What are your goals for our visits and how do you envision the visits with your patients/clients?
COVID-19 Requirements:
Will staff, volunteers and patients/clients be required to wear a face mask during our visits?
Does your facility require that staff, volunteers and patients/clients have received two doses of the COVID-19 vaccine?
We request that staff and patients/clients sanitize their hands before each interaction with our therapy dogs. Will you be providing this sanitizer or should we provide our own?
Facility Partners Membership Fee:

Please note that we require an annual membership fee from our partner facilities based on the categories below. If you are approved for site visits, payment will be coordinated as part of the onboarding process.
Facility Membership - $120

Non-Profit organizations or registered charities that have passed an OTD site assessment for animal-assisted therapy interventions and has an Annual Operating Budget up to $100,000.

Facility Membership - $160

Non-Profit organizations or registered charities that have passed an OTD site assessment for animal-assisted therapy interventions and has an Annual Operating Budget of $101,000 and up.
Should be Empty:

New Facility Application

COVID-19 Requirements:

Facility Partners Membership Fee: