Hap's Veterinary Assistance Fund Pre-Screen Form
We use this quick pre-screen to determine whether you may qualify for financial assistance. It takes less than 5 minutes. If you appear eligible, you will be directed to the full application
Where do you live?
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Please Select
Jackson County
Qualla Boundary (Cherokee, NC)
Other
Residency in our service area is required for most applicants, but exceptions may be considered.
You selected a county outside our normal service area. Briefly explain your situation.
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Is this a request for a cat you currently care for?
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Yes, I am the owner
Yes, I'm the primary caretaker (but not legal owner)
No, I am applying on behalf of someone else
Please explain your relationship to this cat and why the owner did not apply.
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What type of medical issue is this for?
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Please Select
Emergency illness or injury (life-threatening, needs immediate care)
Non-emergency illness or injury
Dental issue (extractions, infections, severe pain)
Suspected pyometra (infected uterus)
Chronic or ongoing condition (diabetes, kidney disease, etc)
Urinary blockage
Not sure
Something else (explain)
Briefly describe what is going on with the cat:
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Example: “My cat has been vomiting for 2 days and is lethargic. Vet recommended bloodwork and x-rays
Is the cat currently at a veterinary clinic or scheduled for veterinary care?
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Yes - at clinic now
Yes - scheduled soon
No, not yet but planning to take soon
No, have not contacted vet yet
Are you able to provide documentation of financial need?
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Please Select
Yes
No
Examples include: pay stubs, SSI/SSD paperwork, bank screenshot, unemployment, SNAP/EBT, Medicaid, or another document showing financial limits. You can upload these later during the full application.
Check my eligibility
Should be Empty: