Canine Spay/Neuter request

Canine Spay/Neuter request
Status
Appointments are limited to friendly dogs 8- 60 lbs. not obese, over 4 months old and under 6 years of age. Aggressive or overweight dogs will be turned away and the deposit will not be refunded. Brachycephalic breeds cannot be accomodated at this clinic.
Please note that appointments are limited to residents of Yolo County who receive public assistance and can provide proof of financial need. Please fill out the form and then email the corresponding proof of financial assistance to info@yolospca.org.The name on the proof is required to match the name on the appointment request.Our team will respond via email to confirm your appointment and provide the details of the participating clinic. Please fill out the form below to apply:
Email*
example@example.com
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
What is your dog's name*
What is the breed of your dog*
Sex of your dog*

MaleFemale
Age range of your dog*

4 months - 6 months7 months - 1 year1 year - 6 years
What is the approximate weight? Must be between 8 and 60 pounds and not obese *
Does your dog have any health problems? If yes, please explain*
Is your dog on any medication? If so please list. This includes flea treatment products*
Has your dog been vaccinated?*

YesNo
Please list the vaccines your dog has received and the dates of vaccination. *
Are you using any of the following programs? Please select all that apply. (Proof is required from one program in next question) -Check all that apply*

SMUD/PG&E Energy Assistance ProgramUnemployment AssistanceActive Military or VeteranSSINone of the aboveOther
I understand that dogs under the 8 lbs. weight limit or over the 60 lbs. weight limit will be turned away. I understand that dogs that are deemed aggressive by the veterinary staff will be turned away. The copayment is non-refundable so please be sure you can keep the appointment and that your dog meets the requirements of this clinic. Please initial below to confirm you understand all of the requirements.*
Initial here
Please submit proof of financial assistance to the following email address: info@yolospca.org . (Name and address on the proof must match the name and address stated above. - Must be 18+ years of age.) There is a high demand for these low-cost appointments. If your application is approved, you will be required to pay the cost of the copayment within 48 hours of approval ($150 for a neuter and $250 for a spay). If the copayment is not received within this timeframe, your appointment will be given to the next applicant. The copayment is non-refundable, so please be sure you can keep the appointment. Please select "yes" below to confirm you understand the submission requirement.*

Yes
Signature

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