2026 ACVO-SAVES Qualified Service Animal Registration

Qualified Service Animal Registration

Once you submit this form you will receive an email with your confirmation that will include your confirmation number, and a link providing the list of available clinics as a pdf. You must then make your appointment with your chosen location, reaching out as they request in the document. Appointments are on a first come first served basis until they fill up. Please SAVE YOUR EMAIL CONFIRMATION as you will need it for your appointment with the veterinary ophthalmologist.
"I certify that I have read and reviewed the Service and Working Animal Qualifications, and that my animal qualifies for this program."
Please type your initials below to acknowledge your animal is qualified.*
Animal's Name:*
Animal's Breed: *
GuideDisability (Other than Blindness)Hearing AssistanceDetection (drug, noxious weed, etc.)Police/MilitarySearch and RescueRegistered TherapyOther
Animal's Years of Service:*
YesNo
Handler/Owner's Name*

First NameLast Name
Handler/Owner's Location:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Handler/Owner's Telephone Number (for Veterinarian use only)*
Please enter a valid phone number that the clinic can use to reach you if needed.Format: (000) 000-0000.
Handler/Owner's Email:*

Confirmation Emailexample@example.com; used by Veterinarian or ACVO office regarding program.
Previous ParticipantACVO-SAVES.orgInstagramFacebookMy ophthalmologistMy general VeterinarianEmail notice from ACVOOther
Name of Your General Practice Veterinarian:
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
For more information on this program, please refer to the ACVO-SAVES website.
Should be Empty: