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If you have any questions, please call 937.294.6505 ext 16. Payment is required to submit the application. Please note, pets are given sedation medication prior to being placed under general anesthesia. All pets are then given an additional pain medication after their surgery. Thank you!

Surgery Options

You may select more than one pet.

Additional Services

Optional
Other Additional Services

SICSA offers the following additional services:

  • Removal of retained baby teeth ($20 first, $10 additional)
  • Umbilical hernia repair ($30-$40)
  • Removal of retained testicle (call for price)

For these services, please call to discuss and schedule with our Spay and Neuter Coordinator at 937.294.6505 ext 16. You may still complete this application and call to discuss these options after.

Contact Information






Check all that apply.

Pet Information

You may include up to three (3) pets per application. Please be aware that payment is required for all pets on this application in order to schedule their surgeries.









Second Pet's Information










I certify that the above information is accurate and complete. By checking "I agree", I submit this form as an electronic signature and agree with SICSA's terms, including that SICSA does not offer refunds.