In case of emergency...
This form supports telling us about 4 pets in your home. If you have more than 4 pets, please let our office know and we will happily collect information to add them to your account.
COVID 19 Policy:
Currently, our office only offers CURBSIDE service for all appointment types except euthanasias. If your pet is scheduled for an appointment that is not a drop-off, please remain on the property while your pet is being seen. Failure to stay on property will result in being charged a drop-off fee of $25.00.
By signing below, you are indicating that you and your household have not had contact with a confirmed Positive Covid-19 case, have not been alerted by Contact Tracers as to possible exposure, and are not exhibiting any symptoms congruent with Covid-19 sympotms.
If you cannot affirm the above information, please call our office to reschedule your appointment.
Our office accepts Visa, Mastercard, Discover, and American Express. We also accept cash and checks (only with verification of valid drivers license or other ID at time of payment).
In addition, we also offer several 3rd party financing options for our clients via Care Credit, and VetBilling. We accept a variety of Care Credit plans based on the total transaction amount (minimum $500.00) for your pet. Additionally, use of Care Credit requires that the card be present every time and that two forms of identification are verified. We appreciate your understanding of our desire to protect your account/identity.
VetBilling offers 3 or 6 month financing. This service requires a $25 enrollment fee. Monthly deductions are made from your account or credit card. Contract required.
As financing options are offered, we cannot offer additional in-house payment plans for our services. Clients needing additional financial support are encouraged to apply for Care Credit with a co-signer.
Full payment is due at the time of service. This includes any charges/fees agreed to by my authorized proxy. Our team is happy to provide any client with a written treatment plan prior to services being rendered. Client will be responsible for a 2% monthly finance charge on accounts over 30 days and any collection and/or legal fees on accounts over 90 days. Your signature below indicates your agreement with these policies.Prior Account standing may dictate that a deposit will be required upong scheduling of your appointment. Accounts previously sent to collections, those that have an outstanding balance, or have a history of slow payment will be required to either pay in full prior to scheduling or to enroll in a VetBilling payment plan.Collections Policy - Any account with a balance over 90 days will be sent to collections. Once an account is sent to collections, the client is no longer eligible to obtain services from OVS. If the client satisfies their collections balance with our collections agency, OVS may elect to continue providing services as long as the client maintains a paid balance either by full payment at time of service or enrollment into a VetBilling Payment Plan. Any client who is sent to collections a second time will be dismissed from the clinic permanently.
By signing this document, I declare I am the lawful owner of all listed pets and all information is true and correct to the best of my knowledge. I hereby authorize the veterinarian(s) of Orcas Veterinary Service to examine, prescribe for or treat the my pet(s) to the best of their abilities. I assume responsibility for all charges incurred in the care of this animal. I acknowledge that medical information will not be released to anyone not indicated on this form without my express verbal and/or written permission with the exception of another veterinary facility.