RCAC Spay/Neuter Application

Owner Eligibility
Do you have a voucher to use as payment toward your pet's spay or neuter surgery?*

YesNo
What type of voucher do you have?*

NYS Animal Population Control Program $1 VoucherSpay it Forward VoucherNo-Cost Voucher
Please attach a copy of the voucher you intend to use for payment:*

Upload a File

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Are you a college student?*
Please attach current school transcript or tuition bill here:*

Upload a File

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Are you currently serving in the military or a military veteran?*
Please attach verification of military service here:*

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Do you meet any of the Tier 2 qualifications?*
To qualify for Tier 2, you must be a current retiree collecting social security or have an annual income of $40,000 or less as indicated on the 1040 form of your most recent tax return.
Please attach verification of Tier 2 qualification here:*

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Which type of pet are you applying for today?*

DogCat

Is your cat up to date on vaccines? Specifically rabies and distemper (FVRCP)*

YesNo
Please attach current vaccination records here:

Upload a File

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About your dog
Pet's Name*
Age (years)*
Age (months)
Sex*

MaleFemale
Approximate weight (lbs)*
Due to the high volume of applications, we are currently unable to accept dogs over 40 pounds for spay procedures. We appreciate your patience and understanding as we work to serve as many pets as possible.
Primary breed*
Please specify:
Secondary breed
Primary color*
Secondary color

Is your dog current on vaccinations, specifically rabies and distemper (DHPP)?*

YesNo
Please attach current vaccination records here:

Upload a File

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Is your dog currently on any medications or supplements (prescription or over-the-counter)?*

YesNo
Please list (include medication name, dosage, and reason for use):

Has your dog ever shown any signs of aggression (with other animals or with people) or are you concerned about your dog being aggressive?*

YesNo
Please explain:

Congratulations!

It appears that your pet qualifies for surgery at our clinic. Below, you will find the prices for each Tier and gender.
Please select any additional services you would like your pet to receive in addition to surgery:

Rabies vaccine - INCLUDED IN THE PACKAGE PRICE AND REQUIRED (unless current vaccine proof shown 48 hrs. prior to appt.)FVRCP vaccine - INCLUDED IN THE PACKAGE PRICERevolution Plus one-month flea treatment - $13Combo testing for Feline Leukemia and Feline Immunodeficiency Virus - $31Nail trim - $10Microchip - $40Droncit Injection (treatment for tapeworms) - $12Other

Congratulations!

It appears that your pet qualifies for surgery at our clinic.
Please select any additional services you would like your pet to receive in addition to surgery:

Rabies vaccine - INCLUDED IN PACKAGE PRICE AND REQUIRED (unless current vaccine proof shown 48 hrs. prior to appt.)DHPP vaccine - INCLUDED IN PACKAGE PRICEParastar flea treatment - $12Heartworm disease test - $25Heartworm disease PLUS tick-borne disease testing - $32Nail trim - $10Microchip - $40Other

Please click the "SUBMIT" buttom at the bottom.

Due to very high numbers of surgery applications, there may be a several month wait before we are able to schedule your pet's surgery appointment.

(We currently have a 3-4 month wait for female cats and a 1-4 month wait for all others.)

Once we get down to your application and are ready to schedule your pet's appointment, we will call you for payment. (All surgeries must be prepaid in full in order to schedule.)

Please be patient as we strive to get as many dogs and cats in for surgery as quickly as possible. If you have not heard from us within two months from the date you submitted your application, you are welcome to call for an update regarding where you are on the waiting list.
Your surgery package price (depending upon your pet's species, gender, and weight) can be found on our website.
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Owner Eligibility