Helping to end pet overpopulation, one animal at a time
Surgery Request Form

Please complete this form for each animal and click Submit to send electronically to PETS Ltd. You will be contacted by a PETS Ltd. volunteer to schedule a date for surgery.

By submitting this form, I acknowledge that there are risks associated with the surgery and anesthesia.  Though Pets Ltd  will take the best care it can of this animal, it cannot guarantee that an adverse reaction will not occur.  I acknowledge and can accept these risks.

Rescue Group:
Rescue Group Contact:
Contact Phone Number:
Contact Email:
Species::
Sex:
Color/breed:
Animal ID:
Services requested for this animal (hold down Control key for multiple selections):
If rabies vaccine is requested, person to whom the certificate will be issued::
Street address of above person::
City/State/ZIP:
Telephone:


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