Plaintiff, who suffers from PTSD, has a dog to help her cope.  She could not afford to pay for formal training and certification of the dog as a service animal.  She trained the dog herself.  This decision holds that the Americans with Disabilities Act does not require that service animals meet certification standards before their disabled owners are entitled to have the animals accompany them in places of public accommodation, such as the hospital owned by defendant,  The service animal must be individually trained to perform tasks related to an individual’s disability, but the animal need not be formally certified.