Pet Health History
To help protect against check & credit card fraud, we may require two forms of I.D. on all transactions. Authorization
I hereby authorize the veterinarian(s) to examine, prescribe for, or treat my pet(s). I authorize thereleaseofmedical information on my pet(s), if needed, by other veterinarians, groomers, kennels, or proper authorities.Iunderstand I am responsible for full payment of this account and that Professional fees are due at the timeservicesare rendered. A deposit may be required for certain medical treatments. If assistance is ever neededforcollection,I know that extra fees will be added to the balance, plus legal interest, and that the total amount will bemyobligation.