Client Service Agreement Form - Companion Animal Hospital River North

Our doors are now reopen to human clients! We need your help to make this transition as safe as possible for everyone. Masks are required inside the hospital, regardless of vaccination status. Please visit our website for more information and feel free to call as at (312) 643-2901 with any questions. Curbside appointments are still available!

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Male Female Male Neutered Female Spayed

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Terms of Service

I assume responsibility for all charges incurred in the care of this pet brought in by myself or another individual. PAYMENT IN FULL is required at the time services are rendered. We do not offer any form of billing. I understand that a treatment plan providing the details and costs for the anticipated veterinary services will be provided to me, at my request, and that I am encouraged to discuss all fees attendant to such care before services are rendered.

We accept cash, checks (with ID), VISA, Mastercard, American Express, Discover Card and Care Credit as forms of payment. A deposit will be required for all hospitalized pets and selected services.

I am aware that the practice of veterinary medicine is not an exact science and I understand that no warranty or guarantee with the provision of medical services is expressed or implied as to a cure or a specific result. I accept that my financial obligations remain regardless of the outcome.

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I agree with the above statement.

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Owner and Contact Information

Pet Information

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