Diabetic Alert Adoption Questionnaire

 If you feel one of our Habibi Bear puppies is the right breed for you, please tell us a little about your family by filling out the form below. 

Diabetic or Medical Alert Client Intake Form

Thank you for your interest in our  Diabetic Alert Program.  Please fill out the form with your specific training needs to help us evaluate the right dog for you.  
Yes
No
Yes
No
High
Med
Low
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Type 1
Type 2
YES
No
(To select multiple, hold Ctrl or Command)
(Please check your spam or junk folder for our replies, many people are discovering their email programs are filtering our email)


A non-refundable Reservation Fee of $500 will reserve your place on the waiting list.  

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