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City of Charlotte

corporatecommunications1@ci.charlotte.nc.us

600 East Fourth Street, , Charlotte, NC, 28202, US

704-336-7600

Female Dog Application

Are you on any government assistance?

If yes: Upload proof of income or EBT card, FNS, SNAP, WIC, CHIP, Veterans Pension

Click Here to Upload

If you are unable to submit your application due to difficulty attaching proof of income, please email CMPDACC.Clinic@cmpd.org for assistance. You will not be able to submit an application without the proof.

We will be reaching out to you via email so please be sure to check your email daily.

Full Name

Full Address

Previous Address

Owner's Birthdate

Only Speak Spanish?

Pets must be between 4 months and 7 year BIRTHDAY for the Veterinarian to perform the surgery.

If your pet is PAST their 7 year birthday, you will be required to obtain surgerical blood tests from a veterinarian service. With out these tests, we will not be able to spay or neuter or pet.

Is your female dog in heat?

Is your female dog pregnant? (Our veterinarian will need to know prior to surgery if your dog is pregnant or may be pregnant)

Is your female dog lactating? (nursing babies)

If you have an electronic version the current rabies certificate for this pet you can upload here.

Click Here to Upload