St. Sophia's Forgotten Felines - Cat Care Assistance

Cat Care Assistance Request Form

Whether you need temporary crisis boarding or financial assistance with essential medications for your cat(s), we want to help! Please complete the form below so our team can review your request and connect you with available resources.
Crisis Boarding: Temporary care for your cat(s) with one of our fosters while you get back on your feet.Hope RX Funding: Financial help with the cost of your cat(s)’ medications.
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Current Address*

Street Address

Street Address Line 2

CityState

Zip Code
Zip Code
CallTextEmail
How did you hear about us? *
Nature of Crisis
Domestic ViolenceHomelessness or Housing InsecurityImpatient Behavioral Health TreatmentSubstance Use RehabilitationOther Situation
You select "Other Situation", please tell us more.*
Briefly describe your current situation and how it impacts your ability to care for your cat(s).*
How urgent do you need to find boarding for your cat(s)?*
2 weeks4 weeks6 weeks8 weeksUnsure of timeframe
Preferred start date for boarding*

MonthDayYear
Date
Nature of Medical Need
FIP (Feline Infectious Peritonitis)DiabetesHyperthyroidismKidney or urinary conditionPrescription Diet RequiredOther Diagnosis
Please specify their "Other Diagnosis".*
Who is you current veterinarian?*
YesNoAppointment scheduled
What is the date of your scheduled appointment?*

MonthDayYear
Date
What medications, treatments, or prescription foods has your veterinarian recommended?*
(Please include medication names, dosage if known, and how long the treatment is expectedto continue.)
What are your goals for this support?*
(e.g., to stabilize the condition, to complete treatment, to avoid surrendering my cat, etc.)
Try to pay out-of-pocketSurrender to a shelter/rescueDelay treatmentEuthanasiaOther Option
Please specify your "Other Option".*
Financial Need & Contribution Capacity

This program is reserved for individuals experiencing financial hardship. Please answer the following questions to help us determine your eligibility.
What is your total monthly income?*
Number of individuals supported by this income (including yourself):*
EmploymentUnemployment BenefitsDisability or Social SecurityPublic Assistance (SNAP, TANF, etc.)Other income sourceNo income
Job loss or reduced hoursEviction or housing lossMedical bills or treatment costsDependents requiring care (children, seniors, etc.)Other financial crisis
Weekly Contribution Toward Care

All applications are reviewed on a case-by-case basis. Financial contribution is not required for approval, but it may help us serve more individuals.
Through this grant, St. Sophia’s has negotiated a reduced boarding fee with our partner Lapof Luxury. Each week of care costs $122.
Full Cost ($122/week)Partial CostI am unable to contribute at this time
Please tell us the partial cost you are able to contribute per week.*
What is the total cost of your cat(s) medication? *
How frequently are you having to pay that cost?*
Please tell us the partial cost you are able to contribute to your cat(s) medication.*
Cat Information and Health Needs
Type*
Cat's Name*
Breed*
Age (numeric)*
Age (weeks, months, years)*
Age*
Gender*
Vaccine Status*
YesNo
Litter Box Trained*
YesNo
Medical*
Please tell us more details about your cat's medical conditions or the medications they need. *
YesNoUnsure
YesNoUnsure
YesNoUnsure
How does your cat behave around strangers/in new places?*
YesNo
Bite/Scratch Tag*
Share a photo of your cat.*

Cancelof
Please attach any veterinary records or medical history if available.

Cancelof
YesNo
Second Cat's Information
Second Cat's Name*
Breed*
Age (numeric)*
Age (weeks, months, years)*
Age*
Gender*
Vaccine Status*
YesNo
Litter Box Trained*
YesNo
Medical*
Please tell us more details about your cat's medical conditions or the medications they need. *
YesNoUnsure
YesNoUnsure
YesNoUnsure
How does your cat behave around strangers/in new places?*
YesNo
Bite/Scratch Tag*
Share a photo of your cat.*

Cancelof
Please attach any veterinary records or medical history if available.

Cancelof
YesNo
Third Cat's Information
Third Cat's Name*
Breed*
Age (numeric)*
Age (weeks, months, years)*
Age*
Gender*
Vaccine Status*
YesNo
Litter Box Trained*
YesNo
Medical*
Please tell us more details about your cat's medical conditions or the medications they need. *
YesNoUnsure
YesNoUnsure
YesNoUnsure
How does your cat behave around strangers/in new places?*
YesNo
Bite/Scratch Tag*
Share a photo of your cat.*

Cancelof
Please attach any veterinary records or medical history if available.

Cancelof
YesNo
Fourth Cat's Information
Fourth Cat's Name*
Breed*
Age (numeric)*
Age (weeks, months, years)*
Age*
Gender*
Vaccine Status*
YesNo
Litter Box Trained
YesNo
Medical*
Please tell us more details about your cat's medical conditions or the medications they need. *
YesNoUnsure
YesNoUnsure
YesNoUnsure
How does your cat behave around strangers/in new places?*
YesNo
Bite/Scratch Tag*
Share a photo of your cat.*

Cancelof
Please attach any veterinary records or medical history if available.

Cancelof
YesNo
Fifth Cat's Information
Fifth Cat's Name*
Breed*
Age (numeric)*
Age (weeks, months, years)*
Age*
Gender*
Vaccine Status*
YesNo
Litter Box Trained*
YesNo
Medical*
Please tell us more details about your cat's medical conditions or the medications they need. *
YesNoUnsure
YesNoUnsure
YesNoUnsure
How does your cat behave around strangers/in new places?*
YesNo
Bite/Scratch Tag*
Share a photo of your cat.*

Cancelof
Please attach any veterinary records or medical history if available.

Cancelof
Documentation & Authorization
Please provide supporting documentation (e.g., shelter verification, caseworker letter, hospital admission paperwork, veterinarian documentation of medical needs,etc.).

Cancelof
By signing below you certify that the information provided in this application is true and complete to the best of my knowledge. I understand that submission does not guarantee placement and that this program is subject to availability and verification.*

Clear
Please verify that you are human*
Case Status
Case Type
Workflow ID
Should be Empty:

Cat Care Assistance Request Form

Nature of Crisis

Nature of Medical Need

Financial Need & Contribution Capacity

Weekly Contribution Toward Care

Cat Information and Health Needs

Second Cat's Information

Third Cat's Information

Fourth Cat's Information

Fifth Cat's Information

Documentation & Authorization