New Client/Patient Information Form
Thank you for choosing Honest Equine Veterinary Services. In order to provide the best service possible, please complete this form to ensure accurate records and understanding of our service agreement. Please understand that payment is due at time of service. Acceptable payment methods include cash, credit/debit, and check. If you elect to pay by credit card, you will have the option to participate in auto charges. A deposit may be required prior to performing certain services. Please be aware that estimates are always available prior to receiving care. In submitting this form, you are agreeing to the terms described above.
Client Name
Client Mailing Address
Client Phone Number
Client Email Address
Horse Name, Age, Breed, Sex, and Color
Address Where Horse is Located
Reason for Appointment
People Other than Owner Authorized to Approve Emergency Care
Submit
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