Autism Service Dog
Application
Application Steps
1. Please review all of the information on our Applicant FAQs page.
2. Be sure to complete this questionnaire to make sure you meet the criteria for applying.
3. Consider whether your family meets all the criteria and if you are able to commit to our extensive training process.
4. If you still feel an autism service dog is right for you, we welcome you to complete our service dog application.
*Please note, you must submit saved applications within 30 days or the draft will expire.
Please download and complete the medical form to submit on page 5
Service Dog Application
Client Services Disclosure & Informed Consent Statement
Thank you for your interest in applying for a BluePath autism service dog. BluePath Service Dogs is committed to providing fair, transparent, and ethical client services in accordance with Assistance Dogs International (ADI) standards.
Please carefully review the following information before completing this application.
Non-Discrimination Statement
BluePath Service Dogs does not discriminate in its admissions or placement decisions on the basis of race, color, ethnicity, religion, gender, gender identity, sexual orientation, national origin, socioeconomic status, disability unrelated to program model requirements, or veteran status.
Admissions decisions are based solely on published eligibility criteria, documented evaluation findings, safety considerations, and program suitability.
Admissions Process Transparency
Submission of this application does not guarantee acceptance into the program or placement of a service dog.
All completed applications are reviewed in accordance with BluePath’s written eligibility and readiness criteria. Applicants who meet preliminary criteria may be invited to participate in additional evaluation steps, which may include interviews, video review, home visits, and committee review.
Final admissions and placement decisions are made by the BluePath Admissions Committee and are communicated in writing.
Eligibility & Program Model
BluePath’s autism service dog program is designed for children who are able to walk in public settings outside of the home without reliance on a stroller or cart, as the safety tether model requires active walking partnership.
If your child has medical, sensory, or physical considerations that may affect these requirements, please notify BluePath so that reasonable accommodations can be discussed when appropriate.
Confidentiality & Data Protection
All personal, medical, educational, and background information submitted as part of this application is treated as confidential.
Application materials are stored securely and are accessible only to authorized BluePath staff and Admissions Committee members involved in the evaluation process. Information is used solely for the purpose of determining eligibility, readiness, and program suitability.
Records are maintained in accordance with BluePath’s record retention policy and applicable laws.
Client Rights
As an applicant, you have the right to:
- Be treated with respect and professionalism
- Receive clear information about the admissions process
- Withdraw your application at any time
- Request clarification regarding admissions decisions
- Access BluePath’s Complaint and Appeals Policy
A copy of the Complaint and Appeals Policy is available upon request and is provided at key decision points in the admissions process.
Voluntary Demographic Information
Any demographic information requested in this application (including ethnicity or referral source) is optional and collected for internal reporting and program development purposes only. It is not used in determining eligibility or placement decisions.
Financial Responsibilities
Families accepted into the program are responsible for ongoing care, maintenance, veterinary expenses, and, if applicable, participation in required training and recertification processes