Partner With Us

Partner With Us!

Please complete this form to submit a partnership request. Partnering with one of our privately owned hospitals (Mount Laurel Animal Hospital, Cape Veterinary Hospital, Absecon Veterinary Hospital, Pennsauken Animal Hospital Hospital, Audubon Family Veterinary Center) allows you access to exclusive incentives and discounts. Once the required documentation is received, your organization will be partnered with our hospital. Please note submitting this form DOES NOT confirm your partnership. You will be contacted by your preferred hospital's rescue coordinator to discuss the remainder of the process.
Hospital Location Preference*

Mount Laurel Animal HospitalPennsauken Animal HospitalAbsecon Veterinary HospitalAudubon Family Veterinary CenterCape Veterinary HospitalExclusively Cats Medical Center Of Medford
Your Name*

First NameLast Name
Organization Name*
Your Position Within Organization*
THANK YOU FOR BEING A VALUED RESCUE PARTNER
You can now take advantage of these special benefits.

Benefits are available immediately once your packet is approved by Rescue Coordinator.

Discounted Care
• You now receive exam fees at 30% off. (Some exams, such as litter exams are already discounted.)
• 25% off the remainder of the bill (some items and services are not discountable)

Coupon Program
Once a voucher is turned in by a new adopter, and we gain a client, we will apply a credit to your account. These coupons are found on the Rescue Portal and are available for immediate download.

Spay & Neuter Program
We offer our rescues discounted Spay and Neuter pricing, OVHs at $290 and Neuters at $265.

For your adopted pets, we charge the rescue $120 OVH, $95 Neuter (billed monthly), and the new adopter is charged a $170.85 ($200 if a patient is over 1 year old or 65lbs). These prices include mandatory pre-op blood work*, pain medications, and an e-collar that the patient goes home with. The adopter is already required to pay for pre-op medications. These are weight-based and typically no more than $15.00

• Pre-op bloodwork is required for all surgical procedures
• These are bundled prices and cannot be broken up.

TNR
TNR pricing is $87.50 for male cats and $136.50 for female cats. Includes ear tip, FVRCP, Rabies vaccine. Be aware this are subject to availability.

Heartworm Treatments - Bundle
This bundle includes 3 days of hospitalization, Prednisone, Doxycycline, Melarsomine, Gabapentin, Trazodone, and microfilaria testing on day 120.

• 0-46lbs - $632.50

• 46lbs and over - $776.50

Sponsorships/Events
We strongly believe in giving back to the community and supporting the efforts of local animal rescues and shelters! We are open to any and all ideas to find these wonderful pets their forever home as well as keep them safe and healthy.

We are honored to contribute to your purpose in any way that we can. We are happy to partner with you to host adoption days at our hospital or with Brewlittles Brewery, in Maple Shade, for fundraising efforts.

We are happy to use our facilities and cat condos, to aid in pets finding their forever homes. Condos are currently located at Pennsauken Animal Hospital and Exclusively Cats.

For event collaboration/sponsorships, please contact the your Rescue Coordinator.
Rescue Information: We are so excited to partner with you and would like to learn more about your hierarchy. (Please list Name, Position, Phone Number and Email Address.)
Please List Any Pertinent Information About Your Rescue*
Printed Name Of Representative Completing Form*

First NameLast Name
FINANCIAL POLICY & INFORMATION
Partnering with our team allows you to access exclusive incentives and discounts.

Once the required documentation is received, your organization will be partnered with our hospitals. We require payment at the time of service. For hospitalized patients, a deposit of the full low end of the estimate will be due at the time of hospitalization, and the remainder due at the time of discharge.

We do not allow balances to remain on accounts.

Partnered Rescues receive 30% off exam and 25% remainder of the invoice. (Unless 25% is less than the cost, items are discounted to cost)

Some items/services are non-discountable and are at the discretion of management.

1. Invoices are typically reviewed for proper discounts and then approved (closed and emailed) 24-72 hours after hospital visit.

2. Rescue credit card or debit card on file will be charged at this time.

(There is a 3% service charge on all credit cards. This charge does not apply to debit cards.)

3. For hospitalized patients, Rescues are required to sign estimates and leave the full low end of the estimate at the time of hospitalization. The remainder of the invoice is required at discharge.

For extenuating circumstances, a payment plan for the remainder of the invoice may be made, with our Rescue Coordinator. This must be done via an Unpaid Balance Agreement (UBA). See terms for all UBA’s below. This will only be at the discretion of our Rescue Coordinator and/or management. If you know this may be a factor at time of admission, please reach out to your Rescue Coordinator as soon as possible to discuss financials.

Failure to make agreed payments will result in the following:

· 1 Month overdue: Rescue discount reverted to full price on delinquent invoices

· 2 Months overdue: Loss of rescue discount on all invoices until the balance paid

· 3 Months overdue: Loss of Rescue Partnership

· 4 months overdue: Collection efforts via Attorney

UBA Terms: This payment plan is interest-free, and free of billing charges for the duration of the agreed-upon payment period. By completing this document, I (the owner and responsible party) understand that in the event payment is not received by each due date, Mount Laurel Animal Hospital will add a monthly finance charge to my account in the amount of 1.15% (18% annually) or the maximum rate allowed by law. Finance charges will accrue from the original charge date. Mount Laurel Animal Hospital will pursue all legal and/or civil options available to collect full payment on any outstanding balances or monies owed. In the event an account is turned over to collections, Mount Laurel Animal Hospital will be entitled to be reimbursed its collection fees and costs of 35% of the outstanding balance together with any out-of-pocket cost expended.

UBA’s will be processed on the 10th of each month

UBA’s will be split into 3-6 months, depending on the amount

You will be required to sign, and input CC information, for the UBA to be valid

UBA’s will be completed by the Rescue Coordinator or member of the Financial/Management Team ONLY
By electronically signing this form I agree that I have read, understand and agree to the financial policy as outlined above.*

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Donations
We are highly in favor of anyone who wishes to donate toward any case to help pets in need, receive required treatment. If you would like to make a donation to a specific pet/rescue, please contact the hospital they are receiving treatment with.
Upload Copy Of Your Organization's 501c3*

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PAYMENT AUTHORIZATION
Name*

First NameLast Name
Rescue*
Address*

Street Address

Street Address Line 2

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Postal / Zip Code
Phone Number*
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Fax Number
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Organization Email*
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Partner With Us!

PAYMENT AUTHORIZATION