Trigg County Veterinary Clinic - Community Pet Program Low Income

Client Name(Required)

Signature(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone Number(Required)

***Valid phone number for emergencies and contact throughout the day

Name of patient(Required)

Age(Required)

Sex(Required)

Female (Spay $100 )

Male (Neuter $75) **Cryptorchid (Retained Testicle) is an additional $25

Feral(Required)

Yes

**Feral cats will get ear tipped and females will have a flank spay

Additional Services by request: (Please initial the selected items you request TCVC to perform below. These are an additional cost to the $100 Spay and/or the $75 Neuter)

FVRCP Vaccination - $15

FELV/FIV/HWT Testing - $17

E-Collar - $7

Microchip - $34

Revolution Plus (Weight Based)

Please list what you will provide:

***Proof of need is required prior to scheduling.