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%.