PAYMENT IS DUE ON ALL SERVICES RENDERED AT THE TIME OF SERVICE. NO EXCEPTIONS. A $100.00 DEPOSIT IS REQUIRED ON ANY ANIMAL THAT IS REQUIRED TO STAY AT OUR OFFICE FOR TREATMENT OR OBSERVATION.
*******NEW CLIENTS ARE REQUIRED TO PAY WITH CASH, CREDIT CARD OR DEBIT CARD *******
I hereby authorize the veterinarians, veterinary technicians and veterinary assistants of Countryside Animal Clinic to diagnose, treat and care for the above referenced animals or any animals that I own or bring to Countryside Animal Clinic for diagnosis and treatment.
I, as owner and/ or responsible party fully understand my obligation and responsibility herein and agree to pay Countryside Animal Clinic in full at the time services are rendered.
I understand that if payment is not received within 30 days from the time of service, there will be a 5% finance charge applied monthly to any unpaid balances.
Please note: A 3% fee will be added to all credit card charges.