Submit a Pet

Species*

Sex*

The Animal Is: *

If female, has this animal ever had puppies or kittens? *

Is this the first time this animal has seen a veterinarian? *

Any current / chronic illnesses, injuries, or prior surgeries? *

Do you understand that this program is for Hillsdale County residents only?*

Do you understand you'll need to show proof of income or that you receive government assistance? *

Do you understand that this is for households not exceeding income of $40,000/year or that receive government assistance? *