Pet Owner Who Can't Find a Vet to Help
If you are unable to find a vet such as the RSPCA or a local veterinarian to see your pet, please complete the following form and we will attempt to assist you. Please note that we are unable to assist with emergency veterinary care, so if your pet needs urgent veterinary attention, please visit a veterinarian as soon as possible. Veterinarians are required to provide first aid to pets who are suffering, so please do not delay treatment waiting for a response from our volunteers. On weekends Canberra Veterinary Emergency Service (Gunghalin) and the Animal Referral Hospital Fyshwick) are able to provide nurse consultations to assess your pet, even if you cannot afford the emergency veterinary fees.
Date
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Day
Year
Date
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Phone Number
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Area Code
Phone Number
Pet's name
Pet's age
Pet's breed (if known)
Please describe the problem with your pet, providing as much detail as possible, including how long your pet has been ill for and any symptoms they are showing such as vomiting, diarrhoea, lethargy or coughing.
Have you contacted any vet clinics, if so, which clinic and what was their response?
If you are receiving financial assistance from Centrelink, please let us know what type of payment you are receiving.
Closest vet clinic or veterinary clinic you have previously attended
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