New Patient Form

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Payment is due at the time of service. A deposit will be required for patients that are admitted to the clinic for diagnostic tests or treatment. You may pay by cash, VISA, Discover or MasterCard, CareCredit, or debit card. We do not take payment by checks. In order to avoid misunderstanding about fees or payment, if you have any questions, discuss any concerns with a staff member before services are performed. I am the owner, or authorized agent of the owner(s), and authorized to unilaterally make any and all treatment and financial decisions on behalf of the pet and any owner(s)