Aid Application

Please note:  We may offer only a portion of the total amount of your bill, depending on what resources we can call upon to help.  Any amount you are responsible for will be clear before you make the appointment and is due when you pick up the animal.  You must have subsidy approval before scheduling the appointment.

Please choose which clinic you would like your pet's appointment. This will better help us determine what type of aid funding is available to you.
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Required: It is state law that your pet’s rabies vaccination be current or updated at the time of receiving services donated through MVH. MVH aid funding may or may not include the cost of a rabies vaccine, depending on the amount awarded. MVH also requires that each animal receive pain medication to take home. This also may not be covered. I HEREBY GIVE MVH THE CONSENT AND AUTHORITY REQUIRED TO COMMUNICATE WITH ANY OTHER PERSONS OR PARTIES CONCERNING MY HISTORY FOR THE PURPOSE OF VERIFYING THE INFORMATION ON MY APPLICATION OR AS NEEDED TO SECURE FUNDING FOR MY AID APPLICATION. I CERTIFY THAT THE ABOVE NAMED ANIMALS ARE OWNED BY ME PERSONALLY. IF APPROVED, I WILL BE NOTIFIED TO SCHEDULE THE APPOINTMENT. IF NO APPOINTMENT IS MADE WITHIN 48 HOURS OF NOTIFICATION, MVH HAS THE AUTHORITY TO NO LONGER HONOR THE AID OFFERED. EMAIL SUBMISSION OF THIS APPLICATION CONSTITUTES A SIGNATURE.
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