HomeMy WebLinkAboutPet Therapy Program
RESOLUTION 2013-807
ADOPTED DOC ID: 9208
THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2013-807 WAS
ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON
NOVEMBER 6,2013:
RESOLVED that the Town Board of the Town of Southold hereby authorizes and directs
Supervisor Scott A. Russell to execute the Pet Therapy Partnership Agreement between the
Town of Southold and Bideawee in connection with introducing a Pet Therapy Program at the
Katinka House and Senior Center, at no cost to the Town, subject to the consent of participants
and approval of the Town Attorney.
Elizabeth A. Neville
Southold Town Clerk
RESULT: ADOPTED [5 TO 11
MOVER: Jill Doherty, Councilwoman
SECONDER: William P. Ruland, Councilman
AYES: Dinizio Jr, Ruland, Doherty, Talbot, Russell
NAYS: Louisa P. Evans
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Pet Therapy Partnership Agreement
This Agreem(snt, dated 20jJI is entered into by and between Bideawee
("Bideawee" "our") and _ rnivJn n~. SoulMol Kat-jn Cxlr~tJame of Facility) ("you
.,your") .
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Whereas, Bideawee provides a Pet Therapy ("Pet Therapy") program which involves trained
volunteer teams ?animal and handler), visiting 'healthcare, senior daycare and residential
facilities to share the human-animal bond and =importance it has on healing and mental
well being; and whereas, `~OWY\ 0 F :Sn. > - vl YAM inlaa liA" (Name of Facility) wishes to
participate In Bideawee's Pet Therapy program.
Now therefore, for good and valuable consideration, the receipt and sufficiency of which is
hereby acknowledged, the parties agree as follows:
e,
Bideawee will:
I , Assure that all our visiting Pei' Therapy teams will be approved and insured Animal
Assisted Therapy Teams who have gone through registration with a nationally
recognized organization. Volunteers will be in good standing with Bideawee and have
a genuine interest in the healing benefits of the human-animal bond.
2. Require all human team members to undergo a background check, including the sex
offender registry.
1 Assure that volunteer teams wear didequate identification while on the property.
Identification will consist 6f name tags, logo'd t-shirts and either a therapy vest or
bandana for the animal,
4. Assure that all animals will be clean and well-groomed when they arrive at your faciliy.
5. Assure, to the best of one's ability, that all animals are screened on an annual basis and
will coach all Pet Therapy teams to volunteer only when their pets are healthy. They will
be free of evidence of fleas, ticks, ringworm. scabies and intestinal parasites. Each
volunteer will have a medical health report for their pet completed annually by their
veterinarian.
6. Comply with all your organizational policies and procedures which you provide to us in
writing and our Pet Therapy teams will undergo volunteer orientation as reasonably
required and/or desired by you.
7. Assure that our volunteers understand the importance of patient/resideht confidentiality
and agree to sign a confidentiality form if desired by your facility.
8, Assure that volunteer teams have all appropriate equipment for handling the animals,
including but not limited to collar, leads and cleaning supplies. ;
9, Assure that volunteers clean up after the animals.
10. Provide volunteer teams to work with your patients/residents on the days/times agre9d
upon.
11. Inform you cs soon as possible If we must cancel or postpone a session due to illness or
emergency, human or animal relafed.
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12. Not take of wi
b er tho t our consent which consent you may
photographs/video u Y Y Y
give or decline by checking the appropriate box below, and if you give consent, request
permission to use such photographs/video elsewhere and, with your assistance, obtain
written releases from guardions when necessary. Notwithstanding the foregoing, you
may at any time, by providing Bideawee with written notice, revoke such consent with
respect to any or ail students.
13, Never authorize a volunteer to be alone with any patient/resident unless your
organization walves this provision.
14. Never authorize a Bideawee volunteer to leave the facility's premises with
patient/resident(s) unless your organization waives this provision.
15. Provide or participate in patient/resident progress notes and related documentation as
reasonably requested by you.
16. Report any incident of which Bideawee becomes aware to your staff and follow
reporting and documentation protocol (provided by you to us in writing) as required by
your facility.
17. Conduct a review of our Pet Therapy program with yoU atleast once per year.
18. Provide this service to your facility free of charge.
Your organization and staff will:
1. Provide Bideawee Pet Therapy teams with appropriate orientation and written general
organizational policies and procedures including but not limited to emergency
protocols.
2. Provide appropriate supervision. Bideawee volunteers pre not permitted to be alone
with patient/resident(s) without staff presence unless your organization gives special
permission. Initial here if you would like to waive this provision and allow our Pet Therapy
teams 1'0 conduct the visits unsupervised :
3. Provide the Pet Therapy team with an appropriate venue to conduct the visit, free of
interruptions.
4. Provide briefing to the volunteers about each participant in the program including
information that will assist the volunteer in being successful-
5. Participate'in periodic de-briefing with our teams and program. mariager.
6. Inform Bideawee Learning Center Staff and/or Pet Therapy teams at least two (2) days in
advance if you need to cancel or reschedule any visits.
7. Notify the Learning Center Manager and/or Pet Therapy teams of any illness among your,
patient/resident(s) that may be communicable and/or threaten the health of the
volunteer (e,g„ lice, chicken pox, measles, mumps, etc,) or their pet (ringworm,.
8. Inform the Learning Center Manager if problems occur with any Bideawee volunteer Pet
Therapy teams (person or animal).
9. Obtain prior consent from Bideawee if these sessions are to be filmed, observed by any
media, or permanently documented in any manner. The Pet Therapy program is a
Bldeowee program. As such, all PR for these programs should be arranged through
Bideawee. If the press or media.confact you about our program, please direct them to
Steven Tedder at 212 532-4455, 5xt 7231. No publicity can be done for Bideowee's
programs without Bideawee's prior consent, -
10. Obtain, as and if necessary, the necessary written consents from each participant
and/or such participant's legal guardian with respect to such participant's paricipation
in the Pet Therapy program.
Except as otherwise set forth herein and unless Caused by the negligence or misconduct of any
Bideawee volunteer (including, without limitation, the mishandling of any animal), Bideawee' is
not liable to.you hereunder, including, without limitation, in connection with a patient/resident's
allergic reaction to any animal. You agree and acknowledge that you are solely responsible
for the actions (including, without limitation, negligence and misconduct) of your
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patient/residenf(s) and staff, including but not limited to the infliction of injury to any anirrial,
You represent and warrant that you have the necessary authority to enter into this Agreement
on behalf of your facility, You agree to indemnify, defend and hold harmless Bideawee frorn
and against any losses, damages, claims, expenses. costs (including ottomeys' fees) arising out
of a third party claim resulting from your negligence or misconduct (including the negligence or
misconduct of any. TEIJJ/1 ~F' S'bleVln of r~ an'nKtl llfty Name) employee,
and/or the breach by you of any representation, warranty or
obligation hereunder.
We look forward to a successful, collaborative and productive relationship and appreciate any
feedback you may have.
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Agreed:
For Town C So IA For: Bideawee
Name o Organization
Si re / r Signature
Nancry Taylor
Print Name Print Name
C) r-
C U t
-?resident and CEO
Title Title
rr ra ~ /
Date Dale
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