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Absent Owner Consent for Treatment
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    I understand that I will be held fully responsible for all charges authorized by my assigned Caregiver. The following payment arrangements have been made.
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    I authorize the use of my card number to be used only while I am away (see dates above) by the Animal Clinic of West Plains to pay for any medical expenses that my pet may required. I am aware that my credit card number will be kept on file, but will be stored in a private and confidential manner. 

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