INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED.

Each field of the application must be completed. If a field does not pertain to your case, please mark N/A. If you are affiliated with a rescue group, you must name the rescue group or organization. Incomplete applications will not be considered.

Please email  aid@westiemed.org your Westie's photo and all veterinary receipts or invoices to be considered. Failure to supply your Westie's photo, veterinary receipts, or invoices will result in a denial of your request.

If you have any questions or problems submitting this form, please contact aid@westiemed.org.

If this is a life or death emergency and you need a response from us within 24 hours, then YOU need to make sure we are provided with the following:

The vet must be available to speak with a WESTIEMED representative.
You must get a picture of the dog to us within 24 hours. You can e-mail a picture to aid@westiemed.org. If you are not able to e-mail one but choose instead to send one by overnight mail, the address is:

WESTIEMED, Inc.
27 Savi Avenue
Waterford, CT 06385

If you do not have a camera, you may want to purchase an inexpensive disposable camera, take photos of the dog requiring assistance, have the film developed at a one-hour or overnight photoshop, and forward the photos to WestieMed. Some photo shops offer services where they will put the photos on a disk for you.

In the medical section of the application, please give us as much detail as you can on the nature of the treatment needed and information on what treatment has already been given.