New Client Form

I hereby authorize the veterinarian to examine, prescribe for or treat, the above described pet(s).

I assume responsibility for all charges incurred in the care of this animal.

I also understand that these charges will be paid at the time of visit/release and that a 50% deposit is required for surgical treatment or admittance.

For payment by check, full address must be printed or written on the check. Unfortunately we cannot accept starter checks.

Driver's License Information is needed for the process of the check. All check are processed electronically with authorization of check writer.