New Client Form

Our office accepts Visa, Mastercard, Discover and Care Credit, along with cash and checks (only with current DL information on file). Full payment is due at the time of service. Clients with payment concerns are asked to speak to a Client Service Representative before their exam. Our staff is happy to provide any client with a written treatment plan prior to services being rendered. Client will be responsible for a 1.5% monthly finance charge on accounts over 30 days and any collection fees on accounts over 90 days. As of September 1, 2015, we offer 6 months, no interest financing via Care Credit for clients in need a credit plan. No other payment plans are offered at this time. Your signature below indicates your agreement with this policy.

I hereby authorize the veterinarian to examine, prescribe for or treat the below-described pet(s) to the best of their abilities. I assume responsibility for all charges incurred in the care of this animal. I acknowledge that medical information will not be released to anyone not indicated on this form without my express permission.