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

Emergency Aid Application Questionnaire

Date submited

Mon Aug 02 2021 15:31:27 GMT+0000 (Coordinated Universal Time)

First Name

Taylor

Last Name

Morris

Phone numbers (home and cell)

703.586.0075

Address

10156 Wilmington Street

City

Manassas

State

VA

Zip Code

20109

Pet's Name

Savage

Age

5

Gender

M

Neutered

Y

Problem description

Weight loss, very low red blood cell count

Symptoms

Very lethargic, weak, little to no appetite, drooling severely, bulging stomach

Veterinarian's diagnosis

Mass in stomach

Prognosis

Untreated ... death

Proposed course of treatment

Hospitalization: blood transfusion, Chest xray study, IV setup, IV fluids, Ultrasound abdominal, Heska Comprehensive Panel + CBC, Injections, Diagnostics, AIS Radiology Interpretation

Cost estimate

$500.00

Amount already spent

$700.00

How much more can you spend

$500.00

Name of hospital

VA

City located in

Fairfax

State

VA

Hospital Number

703.586.0075

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