SUPPORT DOGS, INC.
11645 LILBURN PARK ROAD • ST. LOUIS, MISSOURI 63146 314.997.2325 • FAX 314.997.7202 • www.supportdogs.org
TOUCH HandlerSix Month Visitation Log
Please complete the following information for each consecutive six month period you are making visits. At the end of each six month period, return this form to Support Dogs, Inc.
This form will be used in consideration for recertification for ranking changes, as well as recording the active status of you and your dog.
This form can be mailed, faxed or emailed to firstname.lastname@example.org