Acknowledge each item by initialing, then sign at bottom.Name* First Last Payment is always due in full at the time services are performed* We cannot release hospitalized pets from the hospital, or release medications dispensed, until the final bill for hospitalization or the current patient visit has been paid.* We can not sell food, medications, or other items “on account”. We cannot extend further services or products to clients with outstanding balances. We do not extend credit or bill for services. All open invoices are sent to collections after 45 days.* We accept Visa, Mastercard, American Express, Care Credit, and Discover. Two forms of ID are required when you use Care Credit.* We accept cash payments and do not accept personal checks* We are happy to accept telephoned-authorized credit card payments when you are able to provide all of the necessary information including credit card number, expiration date, security code, and billing address.* We promote the use of Pet Insurance. Payment is due in full at the time services are performed, but we will be happy to keep claim forms in order to expedite your prompt payment from the insurance company.* Gift cards, vaccine programs and other services sold through the website are non-refundable.* Dog-walkers, pet-sitters, neighbors, and other alternate care-givers must accept financial responsibility on the above terms before we can accept your pet for medical care.* Due to the high demand of pets in need for our services, we require a non-refundable deposit for the following types of appointments: new client appointments, established client appointments, same day urgent appointments, double and triple pet appointments, surgeries, and specialty procedures. The deposit will be the cost of an exam fee and will be credited to your final bill after your pet’s appointment. We do require that your deposit be made at the time you book your appointment or a minimum of 24 hours prior to your visit. If you cancel less than 24 hours before your appointment or do not show up, you will forfeit this deposit.* If you would like an estimate before services are performed, we’d be happy to provide one, but ultimately it is your responsibility to ask about the cost of services performed.* Signature*CAPTCHACommentsThis field is for validation purposes and should be left unchanged. Δ
