Financial Assistance Request (OHIO)

Voucher Code:
Total After Voucher (per animal)
Amount Discounted (per animal)
Additional Info
Financial Assistance Application

(FOR OHIO RESIDENTS)

Please note that some of our assistance programs are subject to income requirements. To ensure that you are considered for all available funding sources, please answer all questions truthfully. We strongly advise against allowing financial limitations to prevent you from seeking medical attention for your pet. Let's work together to find a solution.

Important Note:

This form does NOT register you for an appointment slot. If you are approved for financial assistance, you WILL need to still complete the regular clinic registration form on our website. The registration form is located at this link: Clinic Registration

*ASSISTANCE FUNDING IS ONLY FOR OUR OWN CLINICS*

Our funding is only applicable for our Public Vet clinics. Please do not apply for assistance if you are not intending to come to one of our clinics.

Your Name:*

First NameLast Name
Your Email:*

Confirmation Emailexample@example.com
Phone Number:*
Please enter a valid phone number.
What state do you live in?*
Which OHIO county do you live in?*
Funding can vary by county
This application is only available for OHIO RESIDENTS.

Unfortunately we do not currently have any funding options available for your county. Please reach out to your local humane society to see if they offer assistance options.

Please apply at least 3 days PRIOR to the clinic you are intending to register for. We cannot guarantee a response in time if you apply less than 3 days before a specific clinic.

If financial aid is a constraint for you, please refrain from booking your appointment until we review your application. The $10 appointment deposit is non-refundable
You MUST specify the LOCATION/DATE for a SCHEDULED clinic from OUR website that you are intending to register for.

We can ONLY provide assistance if we know WHICH particular clinic / date you wish to attend, since our funding can vary per clinic. We cannot review applications that do not specify a currently scheduled clinic location / date.
Have you already signed up online for one of our clinics?*
Which of OUR clinic location(s) are you signed up OR intending to sign up for?*
Example: Cambridge, OH
Which of OUR clinic date(s) are you signed up OR planning to attend?*

MonthDayYear
Date

How many animals do you own and/or feed currently?*
(Including feral animals)
Are you requesting help for animals that are not yours?*
Please explain the situation for the animals that are not yours:*
Do you house/care for all of the animals that you feed/own? Please explain:*
(Often more funding options are available to multi-pet homes)
Please select which animal you are requesting assistance for:*

Cat(s)Dog(s)

The cost for our standard service is $100 per cat, which covers the examination, surgery, pain medication, and essential services. We kindly request that you inform us of the amount you are able to afford per cat. It is essential that you are upfront about your financial capacity, as we require this information to determine if we can provide financial assistance to you. We encourage you to be responsible and disclose the maximum amount you can afford, as this will assist us in seeking the appropriate aid. Failure to provide this information may hinder our ability to assist you adequately.
How much can you afford to pay per cat?*
Please provide your best estimate
How many cats do you want to bring to this clinic?*
Select 'Other' if bringing more than 6 cats
Please specify the number of cats you want to bring:*
Are any of the cats not owned?*

Yes: Stray, Feral, or AbandonedNo: They are mineNo: They belong to someone else
Please provide us with the names and ages of the cats that you plan to bring:*

Our cost for dogs varies based on weight and whether the dog has previously had a litter (if applicable). See the list below to calculate the price. The standard service covers the examination, surgery, pain medication, and essential services. We kindly request that you inform us of the amount you are able to afford per dog.

It is essential that you are upfront about your financial capacity, as we require this information to determine if we can provide financial assistance to you. We encourage you to be responsible and disclose the maximum amount you can afford, as this will assist us in seeking the appropriate aid. Failure to provide this information may hinder our ability to assist you adequately.

$150 for dogs weighing 20 LBS and under

$180 for dogs weighing 20-30 LBS

$210 for dogs weighing 30-40 LBS

$240 for dogs weighing 40-50 LBS

$270 for dogs weighing 50-60 LBS

$300 for dogs weighing 60-70 LBS

$330 for dogs weighing 70-80 LBS

Contact us for pricing for dogs over 80 LBS

$50 additional for female dogs who have had litters or are pregnant
How much can you afford to pay per dog?*
Please provide your best estimate
Please select all of the following that apply to you:*

Age 65+Low IncomeVeteranNone of the above
Unfortunately our funding for dogs is only available to applicants who meet one of the above requirements
How many dogs do you want to bring to this clinic?*
Select 'Other' if bringing more than 6 dogs
Please specify the number of dogs you want to bring:*
Are any of the dogs not owned?*

Yes: Stray, Feral, or AbandonedNo: They are mineNo: They belong to someone else
Please provide us with the names, weights, and ages of the dogs that you plan to bring:*

We kindly request that you provide us with details about your income. Please be honest in your response, as your income does not disqualify you from receiving assistance. It is important to note that this information will be kept confidential and only used to facilitate assistance for your animals.*
Have you previously visited a veterinarian? If so, which veterinarian did you visit? Please inform us of the local veterinarian you contacted for spay/neuter services and their respective charges. In the event that you have not visited a veterinarian before, kindly let us know.*

Your personal story is often the most powerful motivator for donations. We kindly request that you share your circumstances with us and how our assistance would alleviate any difficulties in your life.*
Are any of your animals being re-homed, or are any of your animals in need of new homes? Please explain. If there are new owners, please provide their information for the medical records.*
Have any of your animals had litters before? If so, what did you do with them? Please explain.*
Should be Empty:

Please apply at least 3 days PRIOR to the clinic you are intending to register for. We cannot guarantee a response in time if you apply less than 3 days before a specific clinic.

You MUST specify the LOCATION/DATE for a SCHEDULED clinic from OUR website that you are intending to register for.