New Patient Information Sheet

New Patient Information Sheet

Payment is expected at the time services are rendered.  We accept: 

  • Cash   
  • Local Check   
  • Mastercard   
  • Visa      
  • CareCredit

Financial Responsibility Agreement:

In consideration of treatment for the above-named pet(s), I accept full financial responsibility. Payment to the doctor is expected at the time services are rendered. I further agree that if this account is turned over to a collection agency, I will be responsible for all collection agency fees, up to 50% of the principle balance, interest of 21% APR, court costs, and reasonable attorney fees.

Your signature also authorizes us to use your pet’s photo in educational or marketing materials.