PAYMENT POLICY
EASTSIDE ANIMAL MEDICAL CENTER
1835 Grayson Highway, Grayson GA 30017
phone: 678-985-5530 fax: 678-985-2730
Please be advised that all patients will be charged an emergency exam fee of $135.00. An estimate of diagnostic and treatment charges will be given after the doctor examines your pet.
PAYMENT IS DUE WHEN SERVICES ARE RENDERED.
We accept cash, Visa, MasterCard, Discover, American Express and Care Credit. We do not accept checks.
If you have any concerns regarding paying for your pet's visit, please inform our staff so we can discuss the best option for you.
Please accept our apology if our payment policy seems strict or inconvenient. These policies will allow our focus to remain on your pet's health. Thank you in advance for your cooperation.
A deposit is required for patients admitted to the hospital.
How do you plan on paying for your visit today? Cash Visa MC Discover CareCredit (please circle)
Cash
Visa
MC
Discover
CareCredit
The card holder must be present. If the card holder is not available in person, please inform our staff as soon as possible.
Print clearly the owner's or agent's name - (PERSON RESPONSIBLE FOR PAYMENT)
Owner/Agent:
Signature of Owner/Agent:
Current address of Owner/Agent:
Phone number:
*Alternate phone number: *(more than one contact number must be listed)
Name of Pet
Date:
-
Month
-
Day
Year
Date
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