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Welcome to Schenectady Chapter Therapy Dogs

If you would like to request a therapy dog visit
please submit the form below.

 
Name:
Job Title:
Email:
Phone Number:
Visitation Place: Independent Facility Group Other
Address of Visit Location:
Day: Mon Tues Wed Thurs Fri Sat Sun
Time:
Select: AM PM
Frequency: Weekly Bi-Weekly Monthly Other
Comments: