I assume responsibility for all charges incurred in the care of this animal. I also understand that these charges will be paid at the time of release and that a deposit may be required for veterinary care of my pet. Please be informed that do not accept cheques.
As owner/caretaker of the above named pet, I authorize the doctors and staff at Centre Street Veterinary Clinic to treat this animal as recommended and explained by the doctor with my permission. I also agree to be responsible for payment of such treatments upon completion of services.