Pet Medical Assistance Application

We're sorry about your situation. Please use the long answer form below and tell us what is going on. Please include your pet's name and diagnosis from your veterinarian and the timeline for your pet's surgeries or medical care. Please include the total amount of funds you are seeking. Please include your veterinarian's contact information and your account number. We will need to contact them directly.

Please note: We will contact you via phone if you are to receive funds; we will need to verify official invoices from your veterinarian and will provide funds directly to the vet's office. We do not provide back payments of any type. We only provide assistance for immediate emergency services.

Please note below what type of first responder you are personally. Are you a veteran, active firefighter, active EMT, or police officer (LEO). Proof of position will be needed to proceed.