+
Home
Who We Are
About Us
History
Our Programs
Benefits of Pet Therapy
Staff Members
Board Members
Community Support
Testimonials
CCPT in the News
Join Us
Volunteer with Your Pet
Sites we Visit
Other Volunteer Opportunities
FAQ's for Volunteering
Request Services
Our Services
Recurring Visits Form
One-Time Visit / Event Form
Events
Living Legacy Gala
2022 Furry Scurry Walk-A-Thon
2021 Furry Scurry
Merchandise
Staff
Ways to Give
Ways to Give
Matching Gifts
Volunteer Hour Matching
phone-icon
973-285-9083
email-icon
info@ccpettherapy.org
fb-icon
twitter-icon
ig-icon
Donate
Mobile Menu
Menu
Home
Who We Are
About Us
History
Our Programs
Benefits of Pet Therapy
Staff Members
Board Members
Community Support
Testimonials
CCPT in the News
Join Us
Volunteer with Your Pet
Sites we Visit
Other Volunteer Opportunities
FAQ's for Volunteering
Request Services
Our Services
Recurring Visits Form
One-Time Visit / Event Form
Events
Living Legacy Gala
2022 Furry Scurry Walk-A-Thon
2021 Furry Scurry
Merchandise
Staff
Ways to Give
Ways to Give
Matching Gifts
Volunteer Hour Matching
Recurring Visits Form
*
- Required Field
Recurring Visits Form -
We will schedule pet therapy at your facility on a regular schedule.
Please fill out the required information below.
We will contact you within 3-5 days to discuss your request.
Please note:
Location: within our
service area
to ensure adequate coverage
Length of visits: 1-1.5 hours long
Number of teams: (a team is a certified owner and pet)
Usually consists of one or two teams
Notice: a minimum of 2 weeks before the first visit date
Fees: (cover the cost of programming and insurance). CCPT staff will discuss the fees with you.
Facility / Organization name: (Please note: we do not do private home visits) *
Street address: *
City / County / Zip: *
Contact person - title / department: *
Contact phone: *
Contact email: *
Type of facility / organization:
Select all that apply
Adult Day Program
Children & Family Services
Hospital / Medical Group
Mental Health
Library
Nursing / Rehabilitation
School / College
Corporation / Business
Other
Other facility type:
Desired start date of visits: *
Purpose of visits: *
Approximate number of people to be seen on each visit: *
Setting of visit: i.e. will the visit(s) take place in one large room or will team(s) go room to room visiting *
Frequency:
-- No Selection --
Weekly
Once monthly
Twice monthly
Choose 1
Day of week: *
Time of day: *
Which certified pets would be permitted to do visits at your facility?
Select all that apply
dogs
cats
rabbits
guinea pigs
How did you hear about Creature Comfort? *
Submitting Form... (Please do not close your browser)
Saving Form... (Please do not close your browser)