I hereby authorize the veterinarian to examine, prescribe for and treat the above described pet(s All payments are required at the time of service. I assume responsibility for all charges incurred in the care of this/these animals. I understand that appropriate forms of payment include:
Cash, Check, Visa, Discover, MasterCard, Debit Cards, Scratchpay and Care Credit.
WE DO NOT ACCEPT AMERICAN EXPRESS OR $100.00 BILLS!