New Client Form

We value your privacy, please review the following questions, if you elect not to allow release of any information, the only person we will communicate with is the actual owner(s) on file and written approval will be needed for anyone else other than required by law. For your convenience please answer the following:

I/we hereby authorize the veterinarians to examine, prescribe for, or treat my pets (s). I/we assume full responsibility for all charges incurred in the care of this/these animal(s). I/we also understand that these charges will be paid in full at the time of release and that a deposit may be required for certain surgical treatments or other procedures.