Language
  • English (US)
  • Spanish (Latin America)
  • WELCOME FORM

    WELCOME FORM

    Thank you for the opportunity to care for your pet. We’ll be happy to answer any questions you have about your pet’s health. To insure the best care possible, please take the time to fill in this form completely.
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  • I confirm I am the legal owner and I hereby authorize Dr. Kim and the staff of Ridgefield Park Animal Hospital to examine, prescribe for, and/or treat the above described pet. I assume responsibility for all charges incurred in the care of this animal. I also understand that charges will be paid at the time of release and that a deposit will be required for surgical treatment. It is also agreed that if I do not pay this account as agreed that past due accounts are subject to all reasonable collection costs, including collection agency and/or attorney’s fees and any service charges for account over 60 days old equal to 1.50% per month which is an APR of 18%.

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