Request for Financial Assistance
Radiograph, ultrasound, CT and/or MRI reports and other laboratory reports (i.e., urinalysis, bone marrow aspirate, flow cytometry, PARR, etc.) Please Fax completed form and all pertinent documents to (804) 525-2193. or. Email: amanda@fetchacure.org. Treatment Plan *This portion of the application may ONLY be completed by the treating veterinarian. ................
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