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Armani's Angels KC
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" indicates required fields
Are you located within a 60-mile radius of the greater Kansas City metropolitan area?
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Yes
No
Due to the limited availability of funds, we cannot assist with emergency cases outside the Kansas City metro. If you are located in Columbia, MO or surrounding communities, please visit our Columbia chapter's website to
complete your application for assistance.
Is this request for routine or preventive care, diagnostic testing, or pet medications?
*
Yes
No
Unfortunately, we cannot assist with diagnostic testing (lab work, X-rays, etc.), routine care costs (like vaccinations or dental cleanings), pet medications or boarding fees.
Has your pet already been examined by a veterinarian (in-person clinic visit)?
*
Yes
No
Before our board can review or approve any applications, your pet must be evaluated by a veterinarian. An exam is necessary for a correct diagnosis, treatment plan, and accurate cost estimate.
If you do not have sufficient funds for an initial exam, please be aware that we may or may not be able to assist with your case.
Please be aware that should your application be approved, Armani's Angels of Kansas City cannot cover 100% of the total cost for each case.
Consent
*
I understand and would like to proceed with my applications.
*
Applicant Information
Name
*
First
Last
Email
*
Phone
*
Address
*
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
About Your Pet
Pet's Name
*
Breed
*
Dog or Cat?
Dog or Cat?
Dog
Cat
Pet's Age
*
Would you like to provide a photo of your pet?
*
Yes
No
Photo upload
Drop files here or
Select files
Accepted file types: jpg, png, gif, Max. file size: 5 MB, Max. files: 2.
May we use any photos you provide on our blog and social media channels? They will be used to help raise the funds needed for your pet(s).
*
Yes
No
Veterinarian Information
Veterinary Clinic
*
Veterinarian's Phone Number
*
About Your Pets Illness / Injury
Please describe the illness and/or injury...
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Surgery or treatment needed:
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Estimated cost of surgery/treatment(s)
*
Prognosis of surgery / treatment
*
Have you applied for care credit and/or other funding?
*
Have you applied for care credit and/or other funding?
Yes
No
How much have you raised?
Additional Questions / Comments...
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100% of ARMANI'S ANGELS DONATIONS BENEFIT ILL AND INJURED ANIMALS IN KANSAS CITY.
GIVE A GIFT. SAVE A LIFE.
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