14411 Sommerville Ct. Midlothian, VA 23113
P: (804) 794-2099 F: (804) 794-3015
Vaccinations: Midlothian Animal Clinic requires verification of veterinarian administered vaccination of the following prior to admittance for hospitalization, surgery, and/or boarding:
Canines: Distemper/Parvo, Bordatella(Kennel Cough), Influenza, Rabies
Felines: Distemper, Rabies
I have read and understand the Midlothian Animal Clinic Hospitalization/Boarding Policy and will assume responsibility for all charges incurred in the care of my pet admitted to this hospital. I also understand that these charges will be paid at the time of release and that a deposit may be required for surgery and for any prolonged treatment. In the event that a check is returned for insufficient funds, a $35 returned check fee will be added. Furthermore, we may submit any delinquent account to our attorneys at which time any and all civil penalties as provided in Section 8.01-21.1 of the Code of Virginia will be imposed. I also waive the benefit of Homestead Exemption or other exemption under insolvency laws. Should this account become delinquent and collection becomes necessary, I understand that I will be responsible for attorney’s fees of 33 1/3 % interest per annum from the last day of payment and any and all applicable court costs.
I authorize Midlothian Animal Clinic to take and display photos of my pet(s) on their social media sites (website, Facebook, Twitter, etc and/or internal media site and marketing materials.