Positive Tails Grant Application

Before You Apply:

1. THIS SERVICE IS FOR NYC RESIDENTS ONLY

2. If you are experiencing an emergency, please seek help right away at the nearest veterinary hospital.

3. Positive Tails is unable to fund treatment for ongoing and chronic conditions.

You must fill out a separate application for each of your animals.

If you have multiple animals, it is unlikely that we will be able to schedule them for surgery on the same day.

Contact Info

Please enter information about the animal's guardian

Name - First and Last Required*

Organization

Address*

Street Address

Street Address Line 2

CityState

Postal / Zip Code

Cell Phone*

Email

example@example.com

Pet's Name*

Dog or Cat:*

Breed:

example: Pitbull mix

Would you consider your animal brachycephalic (flat faced)? Example: French Bulldog, Pug, Persian or Himalayan Cat?

YesNo

Color*

Age or Date of Birth*

Gender:*

MaleFemaleDon't know

If your animal is male, are both testicles able to be seen?

YesNoDon't know

Has your pet ever been diagnosed with a heart murmur?*

YesNoDon't know

Is the animal spayed or neutered?*

YesNoDon't know

Date of last heat or litter:

Do you have other pets?*

YesNoOther

Are there any other unfixed animals in the household?*

YesNoOther

If yes, please list all unfixed animals in your household:

How long have you had this pet?*

Where did you acquire this pet?*

Current on vaccines?*

YesNoDon't knowOther

Please list all vaccines and dates your pet has received them

Please upload any current vaccine and medical records for your pet, or email records to grants@positivetails.org

Browse Files

You can also email documentation to grants@positivetails.org

Any allergies?*

YesNoDon't knowOther

Does your pet have a microchip?*

YesNoDon't know

Name of regular veterinarian or any other veterinarian who has treated your pet?

Issues of concern/reason for applying for assistance*

Where did you hear about Positive Tails?*

Where are you willing to travel for a spay/neuter appointment? Pick all that apply*

Please provide ONE of the following as proof of financial need:

Copy of last year’s tax return, W-2 form, 3 months of paystubs, EBT card, Proof of Unemployment, Social Security, Worker’s Compensation or Disability income or VA benefits letter.

*Bank statements are not acceptable as proof of financial need.

Email documents to grants@positivetails.org

Please provide ONE of the following as proof of financial need: Copy of last year’s tax return, W-2 form, 3 months of paystubs, EBT card, Proof of Unemployment, Social Security, Worker’s Compensation or Disability income or VA benefits letter. *Bank statements are not acceptable as proof of financial need.

Browse Files

You can also email documentation to grants@positivetails.org

The average cost of a spay/neuter surgery in NYC is $850. Please consider this cost when making your donation.

Positive Tails is 100% donor funded. Your donation will go towards the shared mission of providing veterinary care for all. Visit positivetails.org/donate to complete your contribution.

Amount of your contribution:*

Please note that when/if you are given an appointment, a last minute cancelation (less than 48 hours) or failing to show up to that appointment disqualifies you and all companion animals under your care from future services including our public clinic, spay and neuter services, and emergency care.

It can take between 1 and 5 months for us to secure an appointment. You will not hear from us until an appointment becomes available at which time we will call you. We also suggest reaching out to other NYC resources, listed on our website positivetails.org The more places that you apply with the better chance you will have at getting a timely appointment.

Thank you for spaying and neutering for the sake of your animal’s health and to curb overpopulation!

I attest that the information I have provided to Positive Tails is accurate and complete. I give my consent for the above mentioned medical care. I understand that Positive Tails assumes no liability and makes no assurances as to the appropriateness, quality or outcome of any medical diagnosis, treatment, products or services. I consent to allow Positive Tails the use of any pictures and description of medical care for the purposes of promotion and fundraising. Grants are subject to the discretion of the Board of Directors, funds available and procedures outlined in the application guidelines.

Grant Application: Spay/Neuter

Contact Info

Patient Information