Pet Medical Help

Vet care assistance programs

The Pat Geddeis Memorial Fund was established to prevent the suffering of animals by helping with limited funding for the medical care of owned pets of low and fixed-income families. Pat Geddeis was a lover of animals and member of The Northwoods Humane Society. The resources of the PG Fund are limited. All monies in the Fund come from donations, fundraisers and grants. Much of the work done at the shelter is done by volunteers. Those requesting financial assistance are asked to make a trade in time by helping out at the shelter.

Before filling out our Pat Geddeis Medical Fund Application, please visit www.carecredit.com or call 1-800-365-8295 and fill out their application for a veterinary medical credit card. For other veterinary medical financial support, please review the list below.

Northwoods Humane Society PG#____________
Pat Geddeis Memorial Medical Fund
PO Box 82 – 10812N O’Brien Hill Road
Hayward, WI 54843 715/634-5394
IF APPLYING FOR MORE THAN ONE ANIMAL, PLEASE FILL OUT A SEPARATE FORM FOR EACH

* Indicates required field

Medical Help Assistance Form: Name *

First

Last

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

What is the approximate yearly income of everyone in the household? *

How many people live in your household? *

Name and age of Pet? *

Applied for Care Credit? *

Results of Application? *

Cat or Dog? *

Which Veterinarian? *

Approximate cost of care needed? *

What dollar amount can you contribute? *

Male or Female? *

Type of care needed? *

Spayed or Neutered? *

Are you able to donate time to NHS in exchange for financial assistance for your pet? *

If yes, can you *

Hours to be Donated (min 6 hours for every $50) *

Applicant's Signature with Date *

Approved for $__________ By *

Request denied and reason for denial *

Submit

Pet Medical Help

Vet care assistance programs

Northwoods Humane Society PG#____________
Pat Geddeis Memorial Medical Fund
PO Box 82 – 10812N O’Brien Hill Road
Hayward, WI 54843 715/634-5394
IF APPLYING FOR MORE THAN ONE ANIMAL, PLEASE FILL OUT A SEPARATE FORM FOR EACH

We Would Love to Have You Visit Soon!
located 4 miles east of hayward on highway 77 east
10812 N O'Brien Hill Road

Hours

Telephone

Email

Mailing address

Pet Medical Help

Vet care assistance programs

Northwoods Humane Society PG#____________Pat Geddeis Memorial Medical FundPO Box 82 – 10812N O’Brien Hill RoadHayward, WI 54843 715/634-5394 IF APPLYING FOR MORE THAN ONE ANIMAL, PLEASE FILL OUT A SEPARATE FORM FOR EACH

We Would Love to Have You Visit Soon!located 4 miles east of hayward on highway 77 east10812 N O'Brien Hill Road

Hours

Telephone

Email

Mailing address

Northwoods Humane Society PG#____________
Pat Geddeis Memorial Medical Fund
PO Box 82 – 10812N O’Brien Hill Road
Hayward, WI 54843 715/634-5394
IF APPLYING FOR MORE THAN ONE ANIMAL, PLEASE FILL OUT A SEPARATE FORM FOR EACH

We Would Love to Have You Visit Soon!
located 4 miles east of hayward on highway 77 east
10812 N O'Brien Hill Road