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

Emergency Aid Application Questionnaire

Date submited

Wed Apr 06 2022 15:54:16 GMT+0000 (Coordinated Universal Time)

First Name

jennifer

Last Name

overstreet

Phone numbers (home and cell)

94180016529

Address

2212 37th ve east

City

bradenton

State

fl

Zip Code

34208

Pet's Name

luchie

Age

5

Gender

FEMALE

Neutered

NO

Problem description

POSSIBLE SEIZURES

Symptoms

UNBALENCE , URINATES HERSELF

Veterinarian's diagnosis

LAB WORK

Prognosis

UNKNOWN

Proposed course of treatment

UNKNOWN

Cost estimate

170.00

Amount already spent

170.00

How much more can you spend

170.00

Name of hospital

FL

City located in

BRADENTON

State

fl

Hospital Number

94180016529

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