Apply for Help through our Angel Fund

Find Out if Our Angel Fund Can Help Your Pet

In order to be considered for financial assistance, please see if you qualify prior to filling out the application form.

Your pet has been examined and diagnosed by a licensed veterinarian.
You have paid for the exam and diagnosis.
You have an estimate from the veterinarian.
Your pet has a life-threatening emergency and is in urgent need of care.
Your pet is youthful and otherwise healthy and a licensed veterinarian believes your pet has potential for a long and healthy post-surgery life.
Your pet does not have a pre-existing condition and/or is in need of long term care and treatment.
You have exhausted all options to finance the procedure such as seeking help from family members, friends, savings accounts, credit cards, and pet emergency credit.
Special consideration will be given to applicants that are making an active attempt to raise funds using our preferred crowdfunding source, Waggle.
You understand that, upon approval, Saving Gracie only releases funds to the licensed veterinary clinic that performs the procedure.

If you and your pet meet the qualifications above, please fill out the following form to be considered for financial assistance.

Applications will be reviewed Monday-Friday from 9AM to 5PM. Please make sure your veterinarian is a preferred WAG partner as we are only accepting applications through our partner veterinary practices.

Apply For Help

Owner's Name(Required)

First Last

Pet’s Name(Required)

Owner’s Phone(Required)

Owner’s Email(Required)

Owner’s Address

Street Address Address Line 2 City State ZIP Code

County(Required)

Name of Veterinary Practice: Must be a preferred WAG Partner to qualify for funding(Required)

Full Business Name of Veterinary Practice(Required)

Veterinarian’s phone number(Required)

Veterinarian’s Email (if known):

I grant Saving Gracie access to all medical records and information from my veterinary partner(s) required to complete this application(Required)

Yes

Diagnosis(Required)

Veterinarian’s estimate to treat your pet (less diagnosis and exam):(Required)

Upload a copy of your estimate here:(Required)

Drop files here or

Max. file size: 2 GB.

Tell us what type of pet you have(Required)

Specify Other

Enter your pet’s breed (if unknown, enter N/A)(Required)

Age of Pet (if unknown, please estimate)(Required)

Tell us what’s going on with your pet’s current health concern:(Required)

Have you received a grant, contribution or credit from any other non-profit, for-profit or individual intended to be applied to this procedure?(Required)

Name(s) of Organization(s) and/or individual(s):(Required)

Dollar Amount Collected:(Required)

Are you currently raising funds for your pet’s procedure such as crowdfunding, social media or other source online or offline?(Required)

Link to your Online Fundraiser(Required)

Care credit requirements: In order for us to approve your application you must apply for care credit through your veterinary practice. Applicants who have not applied will be in eligible to receive funding from Saving Gracie. Proof of application denial status is required.(Required)

Name of lender:(Required)

Dollar amount awarded(Required)

Upload proof of denial

Drop files here or

Max. file size: 2 GB.

Are you currently serving or have you served in the US Military?(Required)

After adding up the total dollar amount of any and all grants, online contributions, care credits and your individual contribution as the pet owner what is the combined total dollar amount you will be contributing to this procedure (less initial exam and diagnosis). Please Note: Utilizing a variety of options it is customary to expect the pet owner to contribute between 20% and 30%. This dollar amount will be deducted from your final bill and if approved Saving Gracie will cover the remaining balance: $(Required)

Number of human hearts impacted by the love of this pet? (Example grand parents, pet sitters, children, etc.).(Required)

Tell us your “Love Story”. What do you love most about your pet? Do they have a favorite toy, quirky personality traits, etc.? (at least 100 words):(Required)

Why do you feel your pet should be considered for financial assistance (at least 100 words)?(Required)

Photo Requirements: Please upload a minimum of three (3) photos of you and your loved ones with your pet. We are all about the human-animal bond so we want to see you with your furry family member. Photos of pets without humans are accepted as long as there at least three (3) great photos of humans with your pet. Applications may be delayed if this important step is not taken.(Required)

Upload your favorite photos of your pet enjoying time with you and your loved ones. We want to see the human-animal bond in action! You must supply a minimum of 3 images that include your pet with their loving humans.(Required)

Drop files here or

Max. file size: 2 GB.

Please double check! At least three (3) photos include my pet with loving humans?(Required)

Yes

No - Your application has been disqualified

Let’s make this a win-win for both you and Saving Gracie

100% of the funds we use to save the lives of pets comes from your neighbors in the community. It is our sincere desire to serve all qualified applicants. There are many ways in which you can pay the gift you may receive forward so we can sustain the ability to give to other individuals like you, who find themselves confronting the loss of a pet due to financial struggles. We kindly request that you help support one of these no or low cost options should you be granted our assistance. AFTER MY PET’S PROCEDURE, MY COMMITMENT TO SAVING GRACIE WILL BE:(Required)

I commit to providing Saving Gracie with a post procedure photo & written testimonial about my experience for Saving Gracie Love Stories.

Signing up for a recurring monthly donation of $5 or more

Liking Saving Gracie on Facebook and Instagram and sharing posts

Doing a birthday fundraiser on Facebook, sharing my story and asking friends and family to support Saving Gracie

Asking my employer if they have a donation match program

Telling friends and family about how Saving Gracie impacted my life as well as my pet’s health.

Other

If other please fill out below.

How did you find out about Saving Gracie?(Required)

Terms and Conditions: I certify under penalty of perjury

I have met all of the qualifications and have exhausted all options to independently finance this procedure for my pet(Required)

Agree

I am at least 18 years of age and I am the legal owner of the pet named above in this application(Required)

Agree

I understand that Saving Gracie does not cover fees for the initial visit, diagnostic tests including x-rays and bloodwork and does not cover ongoing treatment or follow up appointments. My estimate/request does not include funding for any of these services. Funding for an emergency procedure/surgery will be considered by the Saving Gracie team(Required)

Agree

I have permission to grant use of the photos and/or videos I have provided in this application. I understand that Saving Gracie could potentially use the photos/videos I’ve provided for marketing purposes that can include, but are not limited to the saving-gracie.org website, social media platforms, print materials, advertising, and for other public use as needed.(Required)

Agree

All funds raised by me for this procedure, whether online or in person will be deducted from the balance due at checkout. Funds received post procedure must be paid back to Saving Gracie via my veterinarian. Fundraising that is not disclosed upon submission of this application will result in a denial of this application.(Required)

Agree

I release and hold harmless Saving Gracie from any liability or responsibility for the health and well-being of my pet with regard to this procedure. In the unlikely event an issue arises with respect to my pet’s procedure I will direct my concerns to my veterinarian.(Required)

Agree

I agree to honor the commitment I made above to support Saving Gracie on my own without being prompted by the Saving Gracie team.(Required)

Agree

Send Gracie’s Gazette, your quarterly email to my inbox!(Required)

CAPTCHA