This document provides suggestions for using a dog to help achieve therapeutic goals for clients. Some examples of goals that can be worked on include cognitive skills, physical skills, transitions, social interactions, and daily living skills. The document outlines specific activities a dog could assist with, such as getting up in the morning, eating meals, and toileting. It also suggests positioning of the client, dog, and facilitator for different activities. A wide range of activities are described that integrate a dog into a client's play, hygiene, academic work, and daily routines.