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

New Client Form

New Client Form

PhoneEmail

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, Visa, Mastercard, American Express and Discover. Desert Paws Mobile Veterinary Care will NOT accept checks as a form of payment. 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 principle 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.


Font Resize
Contrast