DCIN One-Time Assistance Program
Please use this form to apply for one-time assistance with insulin and testing supplies for diabetic cats.

Please note: Our One-Time Assistance Program is for caregivers of diabetic cats who have just been hit with the news of their cat's diagnosis and are struggling to come up with the initial costs. A starting supply of insulin and a blood glucose testing kit will be provided along with information on how to get supplies inexpensively going forward. It is not a program for providing ongoing assistance.

If you qualify as low income, can provide proof of low income status, and need ongoing assistance, please indicate that on this form to be contacted when our currently-paused Compassionate Assistance Program begins accepting applications again.

Please be sure to hit "next" for each section, and fill out all required fields in all sections. Your application is NOT submitted until you get to a page telling you that your form was successfully submitted. Many fields are required, so if you are unable to move to the next section, make sure you have filled out all fields with a red asterisk next to the question.
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