Pet Assistance, Inc..........helping people and their pets since 1973

Emergency Aid Application Questionnaire

Date submited

Thu Nov 26 2020 14:55:28 GMT+0000 (Coordinated Universal Time)

First Name

mike

Last Name

rambo

Phone numbers (home and cell)

219-973-1950/219-973-7968

Address

410 w old ridge road

City

hobart

State

in

Zip Code

46342

Pet's Name

moose

Age

9

Gender

m

Neutered

y

Problem description

limping on back right leg will not put weight on it

Symptoms

same as above

Veterinarian's diagnosis

torn ccl/cartilage

Prognosis

surgery to repair ccl to get back to normal

Proposed course of treatment

repair CCL and limited moving around,potty,come back in,on leash,no stairs,ramp useage

Cost estimate

1700

Amount already spent

65 for consultation

How much more can you spend

1700

Name of hospital

in

City located in

highland

State

in

Hospital Number

219-973-1950/219-973-7968

Pet Assistance, Inc. cannot financially help with a pet's care unless the owner an contribute.