For Authorized Facility Use Only.

​​[Organization Name] Visitation Agreement

This Visitation Agreement (“Agreement”) is entered into by and between [Organization Name]  (“Organization Acronym”), the Original Dog Owner (“Owner”), and the Re-Homer for the purpose of preserving the human–animal bond through structured visitation under the Canine Residences in Supporting People (CRiSP) Program.

This Agreement is an addendum to the [Organization Name] Re-Homer Agreement and is subject to all terms therein.

1. PURPOSE

The purpose of this Agreement is to define expectations, boundaries, and responsibilities related to visitation between the Owner and the dog following placement with the Re-Homer, while prioritizing the dog’s welfare, safety, and quality of life.

2. VISITATION STRUCTURE

A. Frequency & Duration

Unless otherwise amended by [Organization Name], visitation will occur as follows:

Frequency (check one):
☐ Weekly
☐ Bi-weekly
☐ Monthly
☐ Other: _________________________________

Typical Duration of Visit:
☐ 30 minutes
☐ 1 hour
☐ Other: _________________________________

B. Location of Visits (check all that apply)

☐ Owner’s residence
☐ Assisted living / medical facility
☐ Outdoor or neutral location
☐ [Organization Name]-approved alternative location

Final determination of visit location is subject to safety, accessibility, and the dog’s well-being.

3. SCHEDULING & COMMUNICATION

• Visits will be scheduled in advance and coordinated through [Organization Name] unless otherwise approved.
• Re-Homer will make reasonable efforts to attend scheduled visits.
  
• Owner or Re-Homer must notify [Organization Name] as soon as possible if a visit must be canceled or rescheduled.
  
• Missed visits due to illness, emergencies, weather, or logistical issues will not constitute a breach of this Agreement.
  

4. DOG WELFARE & SAFETY

• The dog’s physical and emotional well-being will always take precedence over visitation.
• [Organization Name] may modify, suspend, or discontinue visitation if:​
  
  • The dog shows signs of stress, illness, or behavioral concern
    
  • Health or safety risks arise for any party
    
  • Facility policies restrict animal visits
    
• The Re-Homer retains discretion to end a visit early if concerns arise and must notify [Organization Name].
  

5. CONDUCT & BOUNDARIES

During visits, all parties agree to:

• Treat one another with respect and compassion
• Follow rules and [Organization Name] guidance
  
• Refrain from actions that cause distress to the dog
  

6. CHANGES IN CIRCUMSTANCES

Visitation expectations may change due to:

• Changes in the Owner’s health or mobility
• Changes in the dog’s health or temperament
  
• Changes in the Re-Homer’s availability
  
• Transition to end-of-life or hospice care
  

[Organization Name] will document and communicate any approved changes.

7. END-OF-LIFE TRANSITION

Upon the Owner’s passing:

• Visitation obligations under this Agreement will conclude.
• This Agreement will terminate automatically unless otherwise extended in writing.
  

8. TERMINATION

[Organization Name] reserves the right to terminate or suspend this Agreement at any time if:

• The dog’s welfare is compromised
• Safety concerns arise
  
• Agreement terms are not followed
  
• Circumstances materially change
  

Termination of this Agreement does not terminate the Re-Homer Agreement unless specified.

9. ACKNOWLEDGMENT & CONSENT

By signing below, all parties acknowledge that:

☐ Visitation is a privilege, not a guarantee
☐ Schedules may change based on health and safety
☐ [Organization Name] has final authority over visitation decisions
☐ The dog’s welfare is the primary consideration

10. SIGNATURES

Original Dog Owner (Printed Name): ______________________________________

Signature: ____________________________________________________________
Date: _______________________

Re-Homer (Printed Name): ______________________________________________

Signature: ____________________________________________________________
Date: _______________________

[Organization Name] Representative: _____________________________________

Title: _________________________________________________________________

Signature: ____________________________________________________________
Date: _______________________

[Organization Name] INTERNAL USE ONLY

Dog Name: ___________________________________________________________
Placement Date:  _______________________
Visitation Start Date: ____________________

Notes / Modifications: __________________________________________________________________________________________________________________________________________________________________

[Insert Logo Here]

​ Visitation Agreement