New Client Form

I HEREBY AUTHORIZE THE VETERINARIAN AND STAFF TO EXAMINE, PRESCRIBE FOR, AND/OR TREAT THE ABOVE DESCRIBED PET(S). I ASSUME RESPONSIBILITY FOR ALL CHARGES INCURRED IN THE CARE OF THIS ANIMAL. I ALSO UNDERSTAND THAT ANY AND ALL CHARGES WILL BE PAID FOR AT THE TIME WHEN THE SERVICES ARE RENDERED AND THAT A DEPOSIT MAY BE REQUIRED FOR HOSPITALIZATION, TREATMENT, OR SURGERY. IN CASE OF DEFAULT WITH ANY PAYMENT, I PROMISE TO PAY ANY COLLECTION COST AND ATTORNEY FEES.