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South Shores Pet Clinic - New Client Form
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    New Client Form

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    Pick a Date
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    Mr.
    • Mr.
    • Mrs.
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    Mr.
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    Pet Information

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    • Male
    • Female
    • Neutered
    • Spayed
    • Dog
    • Cat
    • Other
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    • Male
    • Female
    • Neutered
    • Spayed
    • Dog
    • Cat
    • Other
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    • Male
    • Female
    • Neutered
    • Spayed
    • Dog
    • Cat
    • Other
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    Due To Rising Operational Costs, We Have Established The Following Policy

    A Service Charge Of 1 ½ % Per Month Or A Minimum Of $3.00 Will Be Added To All Past Due Balances Upon Any Default Of Client In Paying Veterinary Bills For Services, Client Agrees To Pay All Costs Of Collection And All Reasonable Attorney Fees If Litigation Is Commenced

    Payment Is Due At Time Services Rendered

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    Clear
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    Pick a Date
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    Please try to be specific
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