New Patient Information

Client / Owner Information
Please complete the section below, if someone other than you has authority over the medical decisions and financial decisions for your pet(s).
About Your First Pet
Doctor Referral
City and State

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 must be paid in full, at the time of release of the pet.

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