New Client Form

I hereby authorize the veterinarian to examine, prescribe for, or treat the above-described pet. 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 release and that a deposit may be required for surgical procedures. I agree, in the event of non-payment to this account, to bear the cost of collection at a rate of 35% of the total bill, in addition to the amount of the total bill, court costs, interest at the legal rate, and reasonable attorney fees should this collection procedure be required.