Become a Recipient

Assistance can range from paying for veterinarian care, to paying adoption fees and transporting the pet for vet checkups.  Pets on Wheels CT strives to improve the lives of people whose mental or physical health would benefit from owning a pet but need assistance.  The organization works through a referral network of health care professionals and faith-based organizations to place suitable homeless animals with people who will benefit from the human-animal bond.

To request assistance for yourself or a client you are referring, please fill out the form below.  If you are applying for yourself, please include the name and phone number of a referring professional.  If you are referring a client, please include your name and phone number in the Referring Professional section.

We provide assistance to individuals in need to adopt a new pet.  If you are seeking financial assistance for a pet you already own, click here to view a list of organizations that may be able to help.


Contact Information

Referring Professional

Please sign a HIPAA authorization form with your provider. You can submit this application now, but the application process cannot continue until your provider has your permission to discuss your case with Pets on Wheels of CT. (Some referring professionals will not require a signed HIPAA form.)

Personal Reference

General

Additional Information for Dog Ownership