_edited.jpg)
.png)
Pet Assistance, Inc..........helping people and their pets since 1973
Emergency Aid Application Questionnaire
Date submited
Mon Apr 27 2020 00:09:51 GMT+0000 (Coordinated Universal Time)
Email Address
Pet's Name
Binx
Age
15
Gender
Male
Neutered
Yes
Problem description
Azotemia, hyperphosphatemia, severe weight loss, dehydrated, Hypothermia, Diarrhea, r/o infectious vs neoplasia vs toxin
Symptoms
Lethargy, inappetence, diarrhea. 2-3 days. Will not eat normal diet, Dehydrated, Muscle wasting, anorexia
Veterinarian's diagnosis
Azotemia, hyperphosphatemia, severe weight loss, dehydrated, Hypothermia, Diarrhea, r/o infectious vs neoplasia vs toxin
Prognosis
Hospital care for fluids and care
Proposed course of treatment
will attach all of vets notes
Cost estimate
As much as I can
Amount already spent
$600
How much more can you spend
As much as I can
Name of hospital
MN
City located in
Eden Prairie
State
MN
Hospital Number
763-587-5167
Pet Assistance, Inc. cannot financially help with a pet's care unless the owner an contribute.
First Name
Lisa
Last Name
Payne
Phone numbers (home and cell)
763-587-5167
Address
808 Old Settlers Trail APT #7
City
Hopkins
State
MN
Zip Code
55343