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

Emergency Aid Application Questionnaire

Date submited

Fri Nov 29 2024 22:55:35 GMT+0000 (Coordinated Universal Time)

First Name

Alina

Last Name

Lechowicz

Phone numbers (home and cell)

6316901903

Address

14334 Sweet Meadow Trail

City

Conroe

State

TX

Zip Code

77384

Pet's Name

Mac

Age

JUG

Gender

Male

Neutered

Jack Russell Terrier

Problem description

Eye Amputation

Symptoms

Pug Mix

Veterinarian's diagnosis

Possible eye cancer

Prognosis

Eye Amputation

Proposed course of treatment

Eye Amputation

Cost estimate

$480

Amount already spent

Banfield

How much more can you spend

$480

Name of hospital

$3500

City located in

Conroe

State

TX

Hospital Number

6316901903

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

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