Dog Ending
Complete the Rebirth Ending, then load it on the load menu on the main menu then play it again. When you get to the part where you meet Maria for the first time, head across from the plark to a empty lot and you'll see a dog house. You get the key there.
Towards the end of the game, right after you watch the tape, head to the examination room to use the key there. Enter the room.
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