REDWOOD PET CLINIC STATEMENT:
I hereby authorize the Doctors (and their designated associates or assistants) to examine, prescribe for, treat, or perform anesthesia/surgery upon the above-described pet. I agree to pay the fees for the services rendered at the time the pet is discharged from the clinic or when service is otherwise terminated. Under extenuating circumstances and at the direction of the Hospital Manager, credit may be extended. A monthly service charge of 1.5% (Annual Percentage Rate 18%) will be applied to all accounts with an outstanding balance past 80 days with a minimum monthly service charge of $2.00.