Thank you for choosing our pet clinic. We pride ourselves in offering compassionate care for your pet and we are
looking forward to caring for your pet’s needs for many years to come. To ensure the best care possible, please take the time to fill in this form completely. Thank you!
Pet Health History
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Full payment is required at the time of service. We accept cash, check, Visa, Mastercard, and Discover credit cards.
Deposits are required on medical, trauma, surgical and emergency cases where hospitalization is necessary. There is a charge for missed appointments that have not been cancelled with 24 hour advance notice.
I hearby authorize the veterinarian to examine, prescribe for, or treat the above described pet. I assume responsibility
of all charges incurred in the care of this animal. I also understand that these charges will be paid at the time of release
and that a deposit may be required for surgical treatment.
This field is for validation purposes and should be left unchanged.