client Information and Financial Form

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Client Information and Financial Form

We are a multilingual facility, fluent in Spanish and Tagalog. We are here to help; please feel free to contact us with any questions or concerns.
Additional Authorized Owners/agents: (Anyone You Give Authorization To Make Decisions Regarding Your Pet's Health. Must Be Over 18 Years Old.)
By signing below, I understand and agree to the following policies: • ALL FEES ARE TO BE PAID at the time services are rendered. We do not offer any form of billing or extend credit. • There is a $35.00 Cancellation/Rescheduling fee for any procedure not cancelled/rescheduled 72 hours PRIOR to scheduled procedure. • A $25.00 late fee will be assessed each month for any outstanding balance 30 days past due. Accounts past due over 90 days will be subject to collections. • A $25.00 fee will be charged for returned checks. • For some treatments or hospitalized care, a deposit is required. Treatment plans requiring comprehensive care of $200.00 or more, will require a minimum 50% deposit to begin your pet's treatment.

Pet Information