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