Client Information Form

Authorization:

I hereby authorize the veterinarian to examine, prescribe for, or treat the above described pet. I assume responsibility for all charges incurred in the care of this animal. I also understand that payment is due at the time of service/release.

I also authorize the following people to approve treatment on the animal described above for future veterinary care, treatments, anesthesia, surgery, etc.

We accept Cash, Check with proper ID, Mastercard, Visa, Discover, or American Express