Carroll County Humane Society
Vet Participation Form
Application for Funds
Please complete the form below to request financial assistance.
See if you qualify
I applied and was declined for Care Credit.
I am a Carroll County resident
Name of Applicant *
Care Credit ID# *
You must apply for
before applying to the Angel Fund.
Number of Pets *
Email Address *
Primary Phone *
Street Address *
Only Carroll County!
Pet / Procedure Information
Pet Name *
Estimated Amount of Funds Needed *
Your Contribution *
How much can you contribute towards your pet's procedure?
Treating Vet *
ALL ABOUT ANIMALS VETERINARY SERVICES
BOWDON ANIMAL HOSPITAL
CARROLL COUNTY ANIMAL HOSPITAL
MIRROR LAKE ANIMAL HOSPITAL
VCA CARROLLTON ANIMAL HOSPITAL
Procedure / Treatment Description *
In Progress ... Please Wait
This information will be sent to the treating Vet for verification. If funds are approved, they will be provided to your treating Vet.
your form has been submitted.
An email is being sent to the address you provided. The email contains a link to
Please review required fields highlighted in
Number of Pets
should be numeric (integer).
Estimated Amount of Funds Needed
should be numeric
and greater than 0
How Much are you able to Contribute
should be numeric. Enter 0 if none.
(It cannot be greater than the Estimated Amount needed)
Must be a Resident of Carroll County
You have too many pets to qualify for the program!