At Mohnacky Animal Hospitals, we are proud to partner with the Helping Paws® Foundation to provide low-cost and free veterinary care to active-duty military members and veterans. To support this mission, we now offer limited daily appointments exclusively for military families. These appointments are designed to make essential care—like wellness exams, vaccines, and diagnostics—more accessible to those who serve.

If you are a military family looking to book one of these special appointments, please complete the intake form below before your visit. This helps our team prepare and ensures you receive the care you need as efficiently as possible.

Thank you for your service—we’re honored to care for your pets.

Military Pet Intake Form

Owner's Name(Required)

First Last

Number(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country

Pet's Name(Required)

Species(Required)

Dog

Cat

Breed(Required)

Color(Required)

Spayed/Neutered?(Required)

Yes

No

Sex(Required)

Male

Female

Date Of Birth(Required)

MM slash DD slash YYYY

Microchip #

Vx Reaction History:(Required)

Yes

No

If so, please explain

Current Patient(Required)

Yes

No

If so, which location?

Please upload previous vaccine history

Max. file size: 128 MB.

Vaccine Release Signature(Required)

Although adverse vaccine reactions are rare they can occur. In the event that your pet experiences an adverse reaction and needs to be treated at any veterinary medical facility, Mohnacky Animal Hospitals, Inc will be held harmless and not responsible for any cost associated with treatment. By proceeding with your vaccinations, you accept this risk. Please contact us if you suspect your pet is having any adverse reaction.

I approve Photo/Video release

By initialing, you grant Mohnacky Animal Hospitals, Inc. (MAH), Helping Paws (HP) and its representatives permission to take, use, edit, and publish photos or videos of you, your family, and your pet for marketing, social media, and other communications. This includes use on websites, social media, and print materials. You release MAH, HP, and its affiliates from any liability related to the use of these images.

Signature(Required)

Date(Required)

MM slash DD slash YYYY

Please upload valid military ID, valid military dependent ID, or proof of service(Required)

Max. file size: 128 MB.

How did you hear about us?(Required)

Δ