By signing below, you agree to the following conditions:
1. You assume financial responsibility for all charges associated with the veterinary services rendered to your equine animal(s) by PHD Veterinary Services, also known as Performance Horse Doc Veterinary Services. Payments may be made in cash, by check, or by credit card (Discover, VISA, MasterCard, or American Express).
2. All charges for veterinary services are due at time of service and any amounts unpaid after 30 days, a 10% service charge will be added.
3. Full payment is required at the time of discharge, upon the animal leaving the clinic, or at the end of the visit for all services rendered in our clinic.
4. We do not bill insurance companies directly. It is your responsibility to notify your insurance company of any claims and to ensure payment of our account charges within our standard credit terms. We will complete and submit the necessary paperwork required by your insurance company, which will reimburse you for any covered charges. Please note that we only bill insurance companies for examinations specifically requested by them
5. ALL equine veterinary services will be discontinued for any account that is 60 days past due.
6. If your account is referred for collection, you agree to pay all associated costs and expenses, including but not limited to attorney fees and other litigation costs.
7. Due to the high costs associated with handling NSF checks, a $30.00 fee will be charged to a client's account each time a check is returned by our bank due to insufficient funds
8. I hereby authorize PHD Veterinary Services also known as Performance Horse Doc Veterinary Services the billing of my credit card(s) for any unpaid balances on my account inclusive of those that remain outstanding 60 days after the invoice date.