Contents of the Template
This template includes several key sections designed to streamline the process of creating a Service Dog Therapist Letter:
- Professional and Patient Information: Clearly laid out fields for the healthcare professional’s credentials and contact details, as well as the patient’s personal and medical information.
- Diagnosis: A section dedicated to detailing the patient’s diagnosis, supported by relevant diagnostic codes.
- Functional Limitations: A table for listing the significant functional limitations associated with the patient’s diagnosis.
- Service Dog Tasks: A table to itemize and describe the specific tasks that the service dog is trained to perform in relation to the patient’s disability.
- Recommendation and Attestation: A formal recommendation for the patient to have a service dog, along with a statement attesting to the accuracy and good faith of the information provided.
- Signature and Date: Spaces for the healthcare professional’s signature, printed name, and the date, affirming the document’s validity.
- Attachments and Copies: Optional sections for listing any additional supporting documents and indicating if copies have been sent to other parties.
Why Use This Template
- Simplicity and Clarity: This template is designed to be easy to use and understand, removing the guesswork from crafting a Service Dog Therapist Letter.
- Standardization: It helps in maintaining a consistent and professional format which is essential when preparing official medical documentation.
- Time-saving: Using this template can significantly speed up the process of preparing a detailed and precise letter.
- Legally Informed: While not a substitute for legal advice, this template is designed to align with common requirements found in relevant laws and regulations.
Ideal For
This template is most useful in the following scenarios:
- Healthcare Professionals: For psychologists, psychiatrists, doctors, or therapists who are treating patients with a diagnosed disability that would benefit from a service dog.
- Patients Needing Documentation: For individuals who have a diagnosed disability and need formal documentation to request reasonable accommodations, such as housing that typically does not allow pets.
- Legal or Advocacy Use: For lawyers or advocates assisting a client in asserting their rights to a service dog under relevant laws.
- Educational Institutions: For use in situations where a student with a disability is requesting to bring a service dog to school or college as a reasonable accommodation.