Important Information – Please Read Before Applying!

Please understand and complete the following before sending your application:

  1. UNDERSTAND WE DO NOT OFFER EMERGENCY SERVICES. The case review generally takes a minimum of one week.
  2. Send up to 10 pictures of your Doberman; the last invoice from your vet; and a written estimate for services for which you need assistance to: info@dobermansinapinsch.org.
  3. Apply and let us know the status of your resources at Care Credit: carecredit.com/vetmed/
  4. Complete in entirety the Application for Assistance (below these messages).
  5. Complete in entirety the Financial Application: dobermansinapinsch.org/financial

Assistance Application

Please tell us about yourself by answering the following questions

  • Including your immediate family, please provide the names, relationship to you and ages of each person residing in your home:
  • Please tell us about your Doberman by answering the following questions
  • Tell us if you got the Doberman from a Breeder (name), Shelter, Rescue (name), Other (specify)
  • Please list what type (wet/dry/mix), brand (name) and how much you feed daily (cups)
  • Type, sex, age, spayed or neutered (if not explain) and date and type of last vaccination(s)
  • Type, sex, age, spayed or neutered (if not explain) and date and type of last vaccination(s)
  • Type, sex, age, spayed or neutered (if not explain) and date and type of last vaccination(s)
  • Type, sex, age, spayed or neutered (if not explain) and date and type of last vaccination(s)
  • Type, sex, age, spayed or neutered (if not explain) and date and type of last vaccination(s)
  • Type, sex, age, spayed or neutered (if not explain) and date and type of last vaccination(s)
  • Type, sex, age, spayed or neutered (if not explain) and date and type of last vaccination(s)
  • Type, sex, age, spayed or neutered (if not explain) and date and type of last vaccination(s)
  • Type, sex, age, spayed or neutered (if not explain) and date and type of last vaccination(s)
  • Enter "none" if none
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