To be completed by veterinarian or staff.

Because we rely upon the judgement and experience of the veterinarian to guide our funding decisions, we ask that each vet complete and submit the Pet Information Form with your itemized estimate for treatment so that Friends & Vets Helping Pets may process your client’s application for financial assistance. Please submit via this website, fax: 859.201.1177 OR email:

Download a printer-friendly version of this form for mailing/faxing.