SPAY/NEUTER

Spay/Neuter Appointment Request Form

Prior to scheduling a spay/neuter appointment, your pet must be current on certain vaccinations. (Dogs: Rabies, DHPP & Bordetella) (Cats: Rabies, FVRCP). It is strongly recommended that cats also be current on their FeLV vaccines for their protection. Do not proceed with filling out this form if you are unable to attach proof of those required vaccinations.

If needed, you can make a vaccine appointment at any of our mobile low-cost dog & cat vaccine clinics by clicking this link: heart4pets.org/schedule-an-appointment

These clinics are provided only for pet owners experiencing extreme financial hardships and proof of low-income status may be required.

All spay & neuter appointments require a $50 non refundable deposit per pet. (Deposits can only be used for your originally scheduled appointment time and may not be used for any future appointments if you miss your initial appointment).

The need for our services is overwhelming. Due to the limited number of appointments available, deposits have become necessary to eliminate last-minute cancellations and “no-shows”.

Please do not submit payment until you receive our invoice. Invoices must be paid within 24 hours of receipt; otherwise, unfortunately, your appointment(s) will be automatically removed from our schedule.

Please be complete and answer all questions to the best of your knowledge. You must submit a separate form for each pet attending our clinic. After you click the “Submit” button we will contact you as quickly as possible, usually within 24-48 business hours.

Gender *

I understand my pet will be microchipped at the special discounted price of $15 at the time of it's surgery, unless it is already microchipped. *

I understand that my pet must be current on its vaccines and proof must be submitted with this form; otherwise your appointment will not be considered. *

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PET HISTORY QUESTIONNAIRE

Is your pet fearful of strangers or has it ever shown aggression towards humans? *

Has your pet ever received any vaccines in the past? (If yes, please submit prior vaccine records. Email or upload at bottom of page). *

Has your pet ever had a seizure or adverse reaction to a vaccine, medication or anesthesia? *

Has your pet been bitten by another animal or has it bitten a person or other pet within the past 30 days? *

Is there a possibility that your pet may be pregnant? *

Has your pet given birth to a puppy or kitten within the past 4 weeks? *

Have you seen any worms in your pet’s stool or does your pet scoot its rear end on the ground? *

Has your pet been diagnosed with any abnormal health condition? *

Has your pet been on any medication other than flea/tick control within the last 30 days? *

Has your pet experienced any signs of illness or injury within the past 2 weeks? (Check below for all that apply) *

Select *