Pets for Patriots

Companion pet adoption for service and veteran members of the U.S. military

Home
About Us
Patriots
- Learn
- Qualify
Shelters
- Directory
- Learn
- Qualify
Veterinarians
- Directory
- Learn
- Qualify
Canteen
Stories
- Blog
Give

Apply

You are here: Home / Veterinarians / Qualify / Apply

Congratulations! You’re eligible to apply.

Due to our headquarters being wiped out by Hurricane Sandy, all application processing is on hold until we are able to get power restored. We appreciate your understanding.

Veterinarian Application

We're ready to be a Pets for Patriots veterinary practice.

Step 1 of 10

10%

Practice information
Company*
Address*
Street AddressAddress Line 2CityStateZIP Code

Phone*
Fax*
Practice email

Website*
Facebook
Please paste the full url.
Twitter
Please paste the full url
Youtube
Image of practice or logo
Image of practice
Image of practice

Member patriot discount*
Years in operation*
AAHA accredited?
- Yes
- No

Manager contact information
Name*
FirstLast
Title*
Email*
Phone*
- Yes, I would like to recieve email updates from Pets for Patriots
Is the manager the primary contact?
- Yes
- No

Primary contact information
Full Name*
Title*
Email*
Phone*
- Yes, I would like to recieve email updates from Pets for Patriots

Hours of operation
Monday Open
Monday Close
Tuesday Open
Tuesday Close
Wednesday Open
Wednesday Close
Thursday Open
Thursday Close
Friday Open
Friday Close
Saturday Open
Saturday Close
Sunday Open
Sunday Close
About your practice
What would you like people to know about your practice?
(e.g., specialties, practice philosophy, history, community involvement, etc.)
What services do you provide your clients?*

After hours emergency
Practice/facility name*
Phone*
Address*
Address 2
City*
State*
Zip code
Emergency Veterinarian Website

How did you hear about us?*
- Online search
- Twitter
- Facebook
- LinkedIn
- Friend or coworker
- Military.com
- Military or veteran organization
- Animal welfare group
- Partner or sponsor site
- News or article
- Event
- Pets for Patriots mobile
- Pets for Patriots outreach

Terms and conditions*
- I have read and accept these terms and conditions.
I have read and accept Pets for Patriots’ privacy policy and terms of use, and understand that if we do not agree to the terms of use or are not approved as an adoption partner, we may not identify our organization as a veterinary partner nor otherwise hold our organization out to the public as such.

Qualifying Progress

1: Are you in good standing?
2: Location
3: Discount
4: Website
5: Apply

Privacy Policy
Terms of Use
News
F.A.Q.
Wallpaper
Contact Us
Login

Copyright © 2013 Pets for Patriots

Facebook Slide Out

Twitter Slide Out

RSS Feed

Subscribe

Contact Us

You Tube

You Tube Playlist

Go to our You Tube Page