I, the undersigned ower, or owner's agent, consent to the examination of my pet by staff veterinarians at Point Breeze Veterinary Clinic, Inc. and after consultation with me to prescribe medication for, treat, hospitalize, anesthetize, and/or perform surgery on my animal. I understand that some risks always exist with anesthesia and/or surgery and that I am encouraged to discuss any concerns I have about those risks with my attending veterinarian before the procedure is initiated. Should some unexpected life-saving emergency care be required, Point Breeze Veterinary Clinic, Inc. staff has my permission to provide such treatment and I agree to pay for such care.
I understand that a treatment plan of the costs for veterinary services will be provided to me, if I request it and that I am encouraged to discuss all fees attendant to care rendered and during my pet's ongoing medical treatment. If my pet is hospitalized, I agree to pay a deposit of 50% of the estimate fees and assume financial responsibility for the balance of all services on a cash, credit card, or check basis at the time my pet is discharged from the hospital. In the event my pet is hospitalized for more than 48 hours, I agree to inquire as to the medical status of my pet and the fees incurred for the medical services up to that day. In the event of an open balance, I agree to pay monthly billing and financing fee equal to 1.5% (18% per annum) of the unpaid balance.
I further agree that I, or an authorized agent of mine, will pick up my pet and pay for all accrued charges within five days after receiving written and/or oral notification that my pet is ready to be released from the hospital. Such notice will be given at the address maintained on the hospital's patient/client record or the address listed above. I agree that if I fail to comply with this policy, Point Breeze Veterinary Clinic, Inc. may handle this abandonment in the best interests of the animal and the hospital.