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.
AUTHORIZATION AND FINANCIAL POLICY:
Our office accepts Visa, Mastercard, Discover, and American Express. We also accept cash and checks*.
In addition, we also offer a 3rd party financing option for our clients via Care Credit. Care Credit plans are based on the total transaction amount for your pet. Care Credit requires that payment only be made for services as they are rendered, therefore we cannot charge services to your account in advance. 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.
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 your authorized proxy. Our team is happy to provide any client with a written treatment plan prior to services being rendered. Your signature below indicates your agreement with these policies.
*Must have a previously established payment history with us and check will only be accepted with verification of a valid driver's license or other ID at time of payment.
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 Timber Ridge Animal Medical Center to examine, prescribe for or treat the pet(s) described above to the best of their abilities. As legal owner or responsible agent of the above pet(s) I certify that I have read and agree to the above financial policy. I hereby assume financial responsibility for all services rendered.