wheelchair Requests

Brand new wheelchairs are donated to you free of charge.


Please complete & Submit the form below

By submitting a request for a wheelchair, you agree to our
terms and conditions.

To be considered for a wheelchair donation you must submit below files along with the form.

  1. At least three photos of your pet that are clear, in focus and show your pet’s entire body

  2. At least one video of your pet

  3. A letter from your pet’s veterinarian verifying your pet needs a wheelchair

It’s critical that you send us presentable photos and videos— not fuzzy or blurry. We will use them for your pet’s wheelchair fundraiser campaign.

Name *
Name
Phone *
Phone
http://
Enter in pounds. Only numerical values.
REQUIREMENTS: 1- Upload at least 3 photos 2- Upload at least 1 Video 3- Photos and Videos are what's going to make your pet's fundraising a success. Make sure photos/videos you are uploading are clear and in focus.
Instructions are pictured below.
Ship to Address *
Ship to Address
We need a letter from your veterinarian to verify if your pets condition can be helped with the use of a wheelchair. REQUIREMENTS: The letter from your veterinarian must confirm 1- Your pets condition 2- The type of chair your pet needs.
 

By submitting a request for a wheelchair, you agree to our terms and conditions.

 
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