National Capital Therapy Dogs, Inc. P.O. Box 234 Highland, Maryland  20777 301-585-NCTD (6283) http://www.nctdinc.org E-mail: info@nctdinc.org

NCTD Facility Agreement (Sample)

This document represents an understanding between ______________________ (facility) and National Capital Therapy Dogs, Inc. (NCTD) for an Animal-Assisted-Activities / Animal-Assisted-Therapy program.

NCTD agrees to provide the following:

1. Person-Animal Teams registered through Delta Society's Pet Partners Program. This provides assurance that:
   • Only teams who have passed standards-based training and screening will be visiting.
   • Teams are maintaining their registration based on two-year renewal.
   • All volunteers are covered by primary liability insurance.
   • Animals will be properly bathed and groomed prior to each visit.
   • Handlers and animals are appropriately dressed and identified.
2. Approximately _______ (#) of teams will visit the facility ________________________________ (dates/times). This schedule may be modified as needed with advanced notice.
3. If a scheduled visit must be cancelled, NCTD will notify ____________ of ______________(facility). Likewise, if ___________ (facility) needs to cancel a scheduled visit, _______________ (contact person) will notify the NCTD group coordinator.

__________________________ (facility) agrees to provide the following:

1. Primary and alternate staff liaisons as points of contact for NCTD.
2. Pre-screening of residents for appropriateness of visits before AAA/T teams arrive.
3. Up-to-date list of clients approved to receive visits to teams as they arrive and before they begin to see clients.
4. Staff will accompany teams on their visits to
   • Introduce teams to the clients and
   • Provide teams with information about goals to work toward with each client.
5. Periodic meetings between the staff liaison and NCTD for the purpose of coordinating activities and providing the best possible service to the clients.
6. Orientation for new AAA/T teams before they make their first visit to ___________ (facility).
7. A copy of the facility's animal-assisted activities and therapy policies and procedures to the NCTD group coordinator, including updates as needed.
8. Pre and/or Post visit sessions to discuss clients, goals, etc. with the AAA/T teams to maximize the effectiveness of the visits.
9. That there will not be any other animals visiting the facility during a scheduled NCTD visit.

Signed:

____________________(Contact) National Capital Therapy Dogs, Inc. P.O. Box 234 Highland, MD 20777 301-585-NCTD info@nctdinc.org Date:______________________

________________(Contact) ________________(Facility) Address:________________ _______________________ Phone:_________________ Email:__________________ Date:___________________