New Client Registration Form

Owner's Information

Pet's Information

I assume responsibility for all charges incurred in the care and treatment of this animal. I also understand that these charges will be paid at the time of service or release, and a deposit may be required for some medical and/or surgical procedures. The undersigned agrees to pay a finance charge of 1.5% per month on any unpaid balance. In addition, I further agree to the cost of collection, postage, and a reasonable attorney’s fee in the event said account is tuned over for collection.

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