Providence Animal Hospital Client Form

Client Policies and Procedures

We want you to be aware of and understand the following policies and procedures for all clients.
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I agree to release Providence Animal Hospital & Pet Resort from all claims for libel, slander, invasion of privacy, infringement and copyright or right of publicity or any other claim and confirm that you are over the age of 18 years old. (initial below)*
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FINANCIAL POLICY:

Our office accepts Visa, Mastercard, Discover, and American Express. We also accept cash.

In addition, we also offer a 3rd party financing option for our clients via Care Credit. We accept a variety of Care Credit plans based on the total transaction amount for your pet. Care Credit requires that payment only be made for services as they are rendered, we cannot charge services to your account in advance. Additionally, use of Care Credit requires that the card be present at each visit it used. We appreciate your understanding of our desire to protect your account/identity.

We cannot offer additional in-house payment plans for our services. Clients needing additional financial support are encouraged to apply for Care Credit with a co-signer.

Full payment is due at the time of service. This includes any charges/fees agreed to by my authorized proxy. Our team is happy to provide any client with a written treatment plan prior to services being rendered. Your signature below indicates your agreement with these policies.
I agree to Providence Animal Hospital's Financial Policy of payment in-full at the time services are rendered. (initial below)*
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Cancellation Policy

When we book an appointment for you, we reserve time and staff just for you and your pet. We understand that situations do arise from time-to-time therefore, we require a minimum of 24 hours notice to cancel an office appointment and 48 hours notice to cancel any surgicial procedure including dentals. If you are unable to provide proper notice for cancellation(s), Providence Animal Hospital may require prepayment to book future services.
I understand that a minimum of 24 hour notice is required to cancel a regular appointment and 48 hours is required to cancel a surgical or dental appointment. (initial below)*
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Client Policies and Procedures