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Request for Low-Income Medical Services at Angell at Essex

Please provide the following information about yourself (parent/guardian) and your household. Please note that proof of residence will be required at your appointment. We will call you within 1-2 business days to schedule your pet's appointment.

1. About You

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Name:

 

 

   

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City/State/ZIP:

 

    

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2.  


*3.
Question - Required - Please indicate how you qualify for Low-Income services (select all that apply):
Please make up to 7 selections from the choices below.

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*5.
Question - Required - Pet's Species (we only accept dogs and cats at this time)


*6.
Question - Required - Pet's Sex


*7.
Question - Required - Is your pet neutered/spayed or intact?


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We will require documentation for public assistance programs and a rabies certificate if your pet already has a current rabies vaccine or has ever received a rabies vaccination.
 
If you have further pets that require care, please fill out a separate application for each pet.
 
We will call you within 1-2 business days to schedule an appointment. Please be aware that our services are in very high demand, and we will do our very best to contact you promptly.
 
Thank you for your interest and support of our programs!
   Please leave this field empty

     

The Mission of the Massachusetts Society for the Prevention of Cruelty to Animals-Angell Animal Medical Center is to protect animals, relieve their suffering, advance their health and welfare, prevent cruelty and work for a just and compassionate society.
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