Mon-Fri 8:00AM-5:00PM | Sat & Sun CLOSED

New Client Form

We are currently only accepting new clients for end-of-life care.

New Client Form

    PhoneEmail

    [group group-671 clear_on_hide]

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    Pet #1

    DogCat

    Pet #2

    DogCat

    Pet #3

    DogCat

    Pet #4

    DogCat
    YesNo

    PLEASE READ - FINANCIAL RESPONSIBILITY

    For your convenience, we will accept payment in the form of Cash, Check, Visa, Mastercard, American Express and Discover. By submitting this form, I agree I am responsible for any charges incurred by my pet and that payment is due at the time of service. Delinquent accounts will be assessed interest at a rate of 18% per annum. Should it become necessary to place a delinquent account with a collection agency, a collection fee of up to 35% of the principal balance due will be added to defray the cost of collection. Additionally, if legal action is necessary to collect the delinquent account I/we understand that I/we will be responsible for all costs of collection to include but not limited to court costs, interest, and attorney fees. In any of these events, a credit report may be pulled.

    ALSO NOTE

    If during your appointment, your pet(s) are unable to be examined due to temperament, a call fee and consultation fee will be charged so that we are able to legally give recommendations, and possibly prescribe medication for future visits should they need it.