apply for vet bill assistance

Apply For A Grant From Healthy Canines

Healthy Canines Grant Application

* READ THIS IMPORTANT INFORMATION BEFORE APPLYING FOR ASSISTANCE
FAQ

    PLEASE READ BEFORE APPLYING



OUR GRANT PROGRAM PROVIDES FINANCIAL ASSISTANCE FOR GEORGIA RESIDENTS - ONLY


We provide grants up to $500 (grants are between $100-$500). *Grants vary based on available funding.


We provide financial assistance for illnesses, injuries, medication, and medical equipment - ONLY


We DO NOT pay for routine or preventative care, such as, vaccinations, spaying/neutering, heartworm preventative, flea/tick preventative, routine dental care, routine office visits/exams, microchips, or euthanasia.


We DO NOT pay for diagnostics (i.e., X-Rays, CT Scans, MRIs, Blood Work, Exploratory Surgery, Exams, etc.) Your dog MUST have a diagnosis and treatment plan BEFORE applying for a grant.


We DO NOT pay for any type of cancer surgeries or cancer treatments such as chemotherapy and radiation therapy - this is very costly and we don't have funding for this.


** Any balance remaining not covered by our grant is the sole responsibility of the pet parent **


At the end of the application, please upload the following required documentation:

 

  • Proof of Income or Government Subsidy you Receive
  • Copy of the Invoice from your Vet
  • A Clear Photo of your Dog


You may also fax or email your documents.


Applications submitted without required documentation will not be reviewed and automatically denied.


To receive a grant from Healthy Canines Inc., this application must be completed by the person(s) seeking financial assistance in its entirety. All applicants for Healthy Canines must read the Approval Process and FAQ page prior to completing the application.


*Our grant program assist low-income families (income verification required) and other eligible pet parents who meet our grant guidelines in the State of Georgia.


Pet Parents will AUTOMATICALLY qualify for a grant up to $500 (grants are between $100-$500) if you receive and provide proof for any of the following government subsidies:


  • Social Security Disability Income (SSDI)
  • Supplemental Security Income (SSI) 
  • Unemployment Benefits
  • Public Assistance/Welfare
  • Medicare or Medicaid


*Grants vary based on available funding.

Statement of Financial Need

If you do not receive any of the government subsidies listed above, you will be required to provide supporting documention to show proof of income and financial need as stated on the Application Process page. You do not qualify for a grant if your total household income is above 250% of the Federal Poverty Guidelines.


Application

SECTION 1: CLIENT INFORMATION



SECTION 2: SPOUSE/DOMESTIC PARTNER INFORMATION



SECTION 3: EMPLOYMENT INFORMATION



SECTION 4: HOUSEHOLD INCOME



SECTION 5: RECEIVING GOVERNMENT SUBSIDIES


Pet Parents will AUTOMATICALLY Qualify for a Grant up to $500 if you Receive and Provide Proof for any of the Following:


SECTION 6: PET INFORMATION



SECTION 7: TREATING VETERINARIAN INFORMATION



I have read and understand the information posted above.


Pet Parent grants permission to Healthy Canines to use photos and information about your pet for promotional purposes.


Please submit all required documentation listed above by one or more of the following methods:


APPLICATIONS SUBMITTED WITHOUT REQUIRED DOCUMENTATION WILL NOT BE REVIEWED AND AUTOMATICALLY DENIED.



Fax Documents to 404-835-7684


Email Documents to grants@healthycanines.org



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