This is a form to determine if you are eligible to apply for a guide dog. Please take your time and complete all the fields (those that have a * are required). To simplify the process, we have divided the form into 12 steps. You can see a progress bar at the top, indicating the percentage of progress.

Remember that this is only one of the requirements to request a guide dog. To see the other requirements, please visit: www.perrosguiaecuatorianos.org.ec/en/request-a-guide-dog