For the safety of your pet and others, we ask that all animals coming into the building be restrained by a leash or in a carrier upon arrival. Those individuals without proper restraint may request assistance upon arrival.
I am the owner or authorized agent for the pet described above and have the authority to initiate care by executing this consent. By signing this, I certify that I am over eighteen years of age and hereby agree to make myself available by PHONE between the hours of 9:30am – 3:30 pm to aid the doctor with any questions regarding my pet’s history or symptoms.
I agree to pay in full today for services rendered on this date, including those deemed necessary for any medical complications or unforeseen circumstances. Furthermore, I understand regardless of the outcome of treatment, I am responsible for payment of the procedures performed today. If for any reason there are financial restrictions associated with this visit, it is my responsibility as the owner/authorized agent to notify a staff member of such limitations PRIOR to examination or initiation of treatment for my pet. I am, also, aware that a 50% deposit of detailed treatment plan may be required prior to hospitalization or treatment of my pet.
I am aware of the right to decline any services prior to them being performed and by doing so a second visit may be required with additional costs added, including but not limited to additional exam fees and diagnostic charges.
I understand the practice of veterinary medicine is not an exact science and thus, there are no warranty or guarantees that can be awarded to me as to the results or cure afforded by the treatment or procedures performed here today. I have been awarded the opportunity to discuss any questions I may have regarding the care of my pet to my satisfaction, and it is my responsibility to do so. I accept that my financial obligation remains regardless of any outcome.