Application form

Apply to get a service dog.

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All fields are required, unless otherwise mentioned. Step 1 of 5

Service dog application

Medical Report

Notice: To be eligible for the guide dog program, you must first complete the medical report.

Please download the PDF form below and have it filled out by your doctor. You can then submit the completed document and proceed with your request.

Download the medical report (PDF)

Submit your completed and signed document here

Please send the medical report to info@mira.ca.