By submitting this form you agree to the following:
*PAYMENT IN FULL IS EXPECTED UPON COMPLETION OF THE VISIT*
-We accept Cash, Check, Visa®, MasterCard®, American Express® or Discover Card®-CareCredit® (6 MONTH NO INTEREST ON ALL AMOUNTS over $200 or 24-60 MONTH TERMS WITH 14.9% AMOUNTS OVER $1000. APPLY AT CareCredit.com)
Additional Policy Information:The Animal Ophthalmology Center charges a fee of $85 for clients who fail to cancel or no-show to their appointment without providing 24 hours notice. Clients who “No-Show/No Call” for their appointment WILL NOT BE RESCHEDULED FOR FUTURE APPOINTMENTS.
Release: I authorize and direct Dr. David Ramsey to diagnose, prescribe, perform minor therapeutic procedures, and that his judgment may dictate to be advisable for the patient’s well being. No warranty or guarantee has been made as to the result or care.