Thank you for giving us the opportunity to care for your pet(s). Please complete this form so we can accurately enter this information into our files. All information obtained is required for your account and is strictly CONFIDENTIAL.
Fees for professional services are due at the time of service. We will be happy to prepare a written estimate if you wish. Please ask the receptionist or doctor. We accept all of the payment methods listed below.
All checks must include proper ID and current information including driver's license number and DOB. There is a $20 charge for all returned checks. Please be aware that any remaining account balance after 30 days will have a 1.5% service charged applied to the total account balance on a monthly basis.
Hometown Mobile Veterinary Clinic is not an emergency clinic and cannot provide emergency services. For injuries and illnesses that require extensive care, please contact Hermann Veterinary Clinic at 573-486-2515.