*(There will be a $20 fee for drop-off appointments.)

I hereby authorize the veterinarian to examine, prescribe for, or treat the above-described pet(s). I assume responsibility for all charges incurred in the care of this animal. I also understand that these charges will be paid at the time of release and that a deposit may be required.

All payments are due at the time of services rendered.

I have read and understand the above statements and agree to all terms therein.

I give authorization to perform the necessary tests? (i.e. xray, labwork) signature*

Owner’s email address*

Note: Please be advised that we are providing services under modified procedures in an effort to keep our staff and clients safe due to COVID-19. Our office is offering CURBSIDE service at this time. As a reminder, we asked that the person bringing your pet to the clinic be free of any COVID-19 related symptoms (as described by CDC). We also ask that if you or the drop off person have been exposed to COVID-19, to please refrain from bringing your pet. Please designate someone else to bring your pet for his/her appointment.

Please be patient with our staff as we are making every effort to make your visit as smooth and successful as possible under these circumstances. Thank you in advance for your patience! If you have any questions, please contact us at the contact number above.