New Patient Information Form
Professional fees are to be paid at the time services are rendered unless other arrangements have been made in advance. An estimate of fees will be given upon request.
By signing below and submitting this form, I hereby authorize the doctors and staff of Brushy Creek Veterinary Clinic to administer treatment, diagnostic, surgical and anesthetic procedures as they deem necessary. I realize that no guarantee can be made regarding results of these procedures. Further, I agree to assume full financial responsibility for these procedures. Use your mouse or finger to sign electronically below.