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

Emergency Aid Application Questionnaire

Date submited

Thu Aug 06 2020 18:55:03 GMT+0000 (Coordinated Universal Time)

First Name

EILEEN

Last Name

STEINER

Phone numbers (home and cell)

7735762202

Address

17852 WILDWOOD AVE

City

LANSING

State

IL

Zip Code

60438

Pet's Name

SUSIE Q

Age

4

Gender

F

Neutered

NO

Problem description

TORN LIGAMENT LEFT REAR LEG

Symptoms

PAIN SWELLING AND LIMITED USE

Veterinarian's diagnosis

REQUIRES REPAIR EITHER TPLO OR TTA

Prognosis

GOOD

Proposed course of treatment

SURGERY AND REHAB

Cost estimate

800

Amount already spent

300.00

How much more can you spend

800

Name of hospital

IL773

City located in

CHICAGO HEIGHTS

State

IL

Hospital Number

7735762202

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