Pet Owner Who Can't Find a Vet to Help
If you are unable to find a vet to see your pet, please complete the following form and we will attempt to assist you. Please note that any vet in Canberra or Queanbeyan can access financial help from ACT Pet Crisis Support, but they need to put in an application on your behalf. We are not able to take direct applications.
Date
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Month
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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
*
Confirmation Email
example@example.com
Phone Number
-
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 one you have previously attended.
Have you applied for VetPay?
Submit
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