PAYMENT IS DUE IN FULL AT THE TIME OF SERVICE
If the account is not paid in full, the account is subject to costs of collection, attorney fees, and finance charges of 1.5% per month or 18% per annum.
Returned Check Fee: $25.00
Cash, Check, Master Card, Visa, American Express, Discover Card
I, the undersigned, am requesting that veterinary services be provided for pets presented by me or my agents. I understand that I am financially responsible for all services provided. By submitting this form I agree to the terms above.