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Application for free or reduced copayment

Everyone should pay a copayment when they submit an application. Most of the people using our program are low-income, so we try to keep the copay as low as possible.


We do have a small fund that allows us to offer a limited number of reduced copayments, which you can request using this form. We will get back to you within several days to advise if we are able to reduce the copay for any of your pets.


Our normal copayments are $50 for a cat and $75 for a dog. There could be additional charges due the day of surgery if your pet requires a rabies vaccination or has certain medical conditions such as pregnancy, heat or undescended testicles. These extra charges are your responsibility.

Please indicate which government assistance programs you are on.
Are you able to pay for rabies vaccination if required and/or other extra charges?
Yes
No

Tell us about your pets needing surgery

Female pets (check all that apply)
Male pets

For each pet needing surgery, tell us:

Pet #1

Species
Dog
Cat
Gender
Male
Female
Length of hair
Short
Medium
Long

Pet #2

Species
Dog
Cat
Gender
Male
Female
Length of hair
Short
Medium
Long

Pet #3

Species
Dog
Cat
Gender
Male
Female
Length of hair
Short
Medium
Long
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