New Client Form

General Information. Please Read Carefully and Sign Below:

1. Professional fees are to be paid at the time services are rendered. We do not offer or provide billing services. All unpaid balances (including returned checks) are subject to be sent to our attorney for collection after 30 days.
I agree that should my account become delinquent and is referred to our attorney for collection, I will be responsible for all costs of collection and attorney fees of 33 1/3% of the unpaid balance at the time of referral.
There will be a $50.00 charge for returned checks regardless of reason.

2. On your request, we will provide you with a written estimate of fees for any hospital treatment, emergency/intensive care, surgery, or hospitalization. A deposit of 50% of the estimated total may be required before admission for treatment. We reserve the right to hold your pet until all fees are paid, including hospital and boarding costs.

We accept cash, check, Visa, Mastercard, Discover, and CareCredit. No two-party or out-of-town checks. We require social security numbers when accepting checks. It is NOT illegal for us to ask for this, information if paying by check.

Please indicate by your signature that you have read and understand the above information and that the information you have given is correct.