I hereby authorize the veterinarian to examine, prescribe for, or treat the above described pet(s). I assume responsibility for all charges incurred in care of this animal. I also agree to make complete payment at the time services are rendered. I also understand that in the case of non-payment I will be subject to all billing and/or finance charges associated with my account. Should it become necessary to settle my account through a collection agency or attorney, I, the undersigned agree to pay all costs of collections. If you fail to keep your scheduled appointment and do not call with at least 24 hours notice, you will be billed for a missed appointment.
