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DPSS - Michigan Medicine K9 Visit Request
DPSS - Michigan Medicine K9 Visit Request
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Request a Michigan Medicine K9 to visit your unit, clinic, or office area
Thank you for visiting the DPSS request form. Please provide the information outlined below.
First Name
Last Name
Email
Phone
Preferred Method of Contact
Email
Phone
What timeframe is best to contact for follow up?
Morning (7a-11a)
Afternoon (12p-5p)
Evening (6p-10p)
Midnights (11p-6a)
Desired Date & Time First Choice
(mm/dd/yyyy hh:mm)
Our staff will confirm the date and time with you
Desired Date & Time Second Choice
(mm/dd/yyyy hh:mm)
Department/Unit/Group
The full details of a ticket, including any appropriate circumstances or supplementary information that may aid in resolving it.
Press Alt + 0 within the editor to access accessibility instructions, or press Alt + F10 to access the menu.
Estimated Number of Attendees
Location of the Meeting
Other Fields
Your name
Your first name
Your last name
Your email address
Your phone number
Verification Code