AUTHORIZATION & FINANCIAL RESPONSIBLITY
I am the owner of the above animal or am responsible for it, am 18 years of age or older, and have the authority to execute this consent and hereby authorize Veterinary Center of Parker, Inc. after consultation with me to administer treatments and perform procedures that are necessary for the well-being and care of the Pet. I understand that there are no guarantees associated with any treatments and procedures.
I assume personal financial responsibility and agree to pay for all charges and expenses invoiced at time of service. I agree to pay a recurring 1.5% per month interest on any amounts unpaid after 30 days, a $40 service charge for each NSF check, and any and all costs and expenses, including legal fees, for collection of any and all unpaid amounts.
Payment is required at time of service. For your convenience, we accept Visa, MasterCard. Discover, American Express, Care Credit, Cash or Check. We also accept PayPal payments via our website @www.vcparker.net.
Ifl neglect to pick up the pet within five days of written notice, sent to the above address, my pet will be considered abandoned. In cases of abandonment, Veterinary Center of Parker, Inc. will have authorization to take care of the pet as seen fit. Abandonment does not release me from my obligation to pay for all charges involved.