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Pet Insurance Quote
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Tell us about your pet:
Pet's Name
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Date of Birth
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Pet Type
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🐶 Dog
🐱 Cat
Gender
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♂ Male
♀ Female
Dog Breed
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Mixed Breed Small (up to 20 lbs)
Mixed Breed Medium (21 to 70 lbs)
Mixed Breed Large (70+ lbs)
Airedale Terrier
Akita
Alaskan Malamute
American Bulldog
American Eskimo Dog
American Staffordshire Terrier (AmStaff, Pit Bull, Bull Terrier)
Anatolian Shepherd
Aussiedoodle
Australian Cattle Dog (Blue Heeler)
Australian Shepherd (Aussie)
Basset Hound
Beagle
Bearded Collie
Belgian Malinois
Bernedoodle
Bernese Mountain Dog (Berner)
Bichon Frise
Bloodhound
Border Collie
Boston Terrier
Boxer
Bull Terrier
Bullmastiff
Bulldog (English Bulldog)
Cane Corso (Italian Mastiff)
Cavalier King Charles Spaniel (Cavalier, Cavie)
Cavapoo
Chiweenie
Chihuahua
Chinese Crested
Chow Chow
Cocker Spaniel (American Cocker Spaniel)
Cockapoo
Collie
Coton de Tulear
Dachshund (Doxie, Wiener Dog, Sausage Dog)
Dalmatian
Dogo Argentino
Doberman Pinscher (Doberman, Dobe)
Dogue de Bordeaux (French Mastiff)
English Mastiff (Mastiff)
English Setter
English Springer Spaniel
French Bulldog (Frenchie)
German Pinscher
German Shepherd (GSD, Alsatian)
Giant Schnauzer
Goldendoodle
Golden Retriever (Golden)
Great Dane (Dane, Gentle Giant)
Great Pyrenees
Greyhound
Havanese
Irish Setter (Red Setter)
Irish Wolfhound
Jack Russell Terrier (JRT)
Jackapoo
Japanese Chin
Keeshond
Komondor
Labrador Retriever (Lab)
Labradoodle
Leonberger
Lhasa Apso
Maltese
Maltipoo
Miniature Schnauzer (Mini Schnauzer)
Morkie
Neapolitan Mastiff
Newfoundland (Newfie)
Norwegian Elkhound
Old English Sheepdog
Papillon
Pekingese
Pembroke Welsh Corgi (Corgi)
Pharaoh Hound
Pomeranian (Pom)
Pomsky
Poodle (Standard Poodle, Miniature Poodle, Toy Poodle)
Portuguese Water Dog
Presa Canario
Pug
Puggle
Rat Terrier
Rhodesian Ridgeback (Ridgeback)
Rottweiler (Rottie)
Saint Bernard (St. Bernard)
Saluki
Samoyed (Sammy)
Schnoodle
Scottish Deerhound
Scottish Terrier (Scottie)
Shetland Sheepdog (Sheltie)
Shiba Inu (Shiba)
Shih Tzu
Shorkie
Siberian Husky (Husky, Sibe)
Soft Coated Wheaten Terrier
Staffordshire Bull Terrier (Staffy, Staff)
Tibetan Mastiff
Vizsla
Weimaraner
Welsh Terrier
West Highland White Terrier (Westie)
Whippet
Wirehaired Pointing Griffon
Yorkipoo
Yorkshire Terrier (Yorkie)
Other (Explain in Remarks)
Cat Breed
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Domestic Medium Hair
Domestic Short Hair
Domestic Long Hair
Abyssinian (Abys)
American Shorthair (ASH)
Balinese
Bengal
Birman (Sacred Cat of Burma)
Bombay
British Shorthair (British Blue)
Burmese
Chartreux
Cornish Rex
Devon Rex (Devon)
Egyptian Mau
Exotic Shorthair
Himalayan
Maine Coon (Coon Cat)
Manx
Norwegian Forest Cat (Wegie, Skogkatt)
Oriental Shorthair (Oriental)
Persian (Persian Longhair)
Ragdoll
Russian Blue
Scottish Fold
Siamese
Siberian
Sphynx (Hairless Cat)
Tonkinese
Turkish Angora (Angora Cat)
Other (Explain in Remarks)
Breed Description
*
Primary Veterinarian
Has your pet ever shown symptoms, received treatment for, or been diagnosed with Addison’s Disease, Cushing’s Disease, Diabetes, Cancer, Feline Leukemia or Feline Immunodeficiency Virus?
Yes
No
Has your pet ever shown symptoms, received treatment for, or been diagnosed with any other condition?
Yes
No
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