Treatment Authorization 
I hereby authorize Intermountain Veterinary Hospital to provide treatment for any livestock/pet(s) I bring to IVH for services and understand that I am financially responsible to Intermountain Veterinary Hospital for all charges incurred during or due to a result of my visit. I agree to pay all charges promptly upon presentation thereof unless prior arrangements have been agreed upon in writing. I understand that this will continue to apply future livestock/pets and future services provided by Intermountain Veterinary Hospital. I agree to pay all service charges, collection, legal and court fees in the event it becomes necessary to pursue my account for collection.

Payment Policy
Payment in full is due at time of service. We accept payment via cash. check. Visa, MasterCard and Discover. Sorry, we do not accept out-of-state checks. For all check payments and accounts allowed to charge we require a copy of your driver's license. A deposit of 30-50% may be required for all major surgeries and/or hospitalization. The deposit is due at the time the patient is admitted. The entire balance is due at the time of discharge. Emergency cases require a minimum deposit of $150 before we can begin extensive medical procedures. Emergency first aid may be initiated immediately without a deposit (if necessary, to minimize acute pain or save an animal's life A billing charge of $3.00 per month for billing and postage costs will be added to all open accounts if not paid within 30 days. A finance charge of 1.50% per month (equivalent to 18% annually) will be charged to all accounts not paid in full within 30 days. Additional services will not be provided or charged to accounts with outstanding balances older than 30 days.

There will be a $30 fee for returned checks.

Should your account be referred to an outside collection agency. you hereby agree to pay all collection costs, attorney fees and court costs. The proper venue for any action filed to enforce the terms of this agreement will be Gallatin County, MT. By signing below, I am personally guaranteeing payment of any and all amounts due on this Intermountain Veterinary account. This includes the principal amount owed and all additional costs and fees of account collection including, but not limited to, attorney fees, collection agency fees that may be up to 50% of the amount owed, court costs, debit/credit card transaction fees, and interest at the highest amount allowed by law. These costs and fees are actual costs that are incurred, and these costs and fees result in a monetary loss due to Consumer's failure to pay.