Authorization and Payment Policy

I hereby authorize the veterinarian to examine and/or treat the below patient.

I assume full responsibility for all charges incurred in the care of this animal. I also understand that these charges are to be paid in full at the time of release. Payments are expected when services are rendered.

WE DO NOT BILL.

In order to provide the best care, we accept:

All major credit cards (MasterCard, Visa, Amex, & Discover)
Care Credit
Cash

Should collection and/or attorney’s fees become applicable, I will be held responsible for those and all other costs of collection.

By signing below, I hereby state that I am the owner or authorized agent of the below patient. I understand that no guarantee can be made as to the result obtained from medical treatment. I have read the above terms and conditions and agree to adhere to this agreement.

Owener's Name (Print)

Signature

Pet Name(s)

Date

Cancellation and Late Arrival Policies

Please note our cancellation and late arrival policies

Any client arriving past their scheduled appointment time will be charged a late fee. Arriving past your scheduled appointment time may also forfeit the appointment time, and your appointment may be canceled.

Should your initial consult appointment be canceled less than 24 hours prior to your pet’s exam, you will forfeit your prepaid consultation fee. For future recheck late cancellations or no-shows, you will be charged a cancellation fee.

After booking your initial consult, your credit card will be charged and kept on file. Appointments may not be canceled by leaving a message on our machine after hours.

Owener's Name (Print)

Signature

Pet Name(s)

Date

Authorization and Payment Policy