Rendering of the exterior of the Community Veterinary Hospital

Veterinary Care Financial Assistance Application

Oregon Humane Society is dedicated to offering accessible veterinary care to people and their pets through the Financial Assistance Fund.

Discounts are offered to minimize the financial barriers faced by many.

To request financial assistance for veterinary services, please fill out the form below.

"*" indicates required fields

This field is for validation purposes and should be left unchanged.
Name*
Do you or anyone in your family receive state or federal government assistance?**
*Such as: Employment Related Day Care (ERDC), Food Distribution Program on Indian Reservations (FDPIR), Housing Choice Vouchers (Section 8), Oregon Health Plan (OHP), Social Security Disability Insurance (SSDI), Supplemental Nutrition Assistance Program (SNAP), Supplemental Security Income (SSI), Temporary Assistance for Needy Families (TANF), or Women, Infant, Children (WIC).
*All adults and children, including yourself and any dependents.
Are you a Military Veteran?*
Are you age 65 or over?*
Are you a student age 18 or over?*
Consent*