We will gladly prepare a written estimate if you desire (please ask the doctor
or receptionist). This will be important to you since ALL PROFESSIONAL
FEES ARE DUE AT THE TIME SERVICES ARE RENDERED. In cases of extensive
medical or surgical procedures, when full payment may be difficult at discharge,
we take Visa, MasterCard or Discover., or payment arrangements can be
established if approved in advance of the treatment. There will be a $20
service charge for any check returned unpaid.
To prevent the spread of infectious diseases, hospitalized patients must be
current on rabies vaccines and free from any internal or external parasites.
Agreement below authorizes this level of preventative care and the appropriate
charges will be assessed in the discharge invoice.
I hereby authorize Suffield Veterinary Hospital examine, prescribe for or treat
my animal presented today. I assume responsibility for all charges
incurred in caring for this animal. I understand that these charges will
be payable at the time of discharge.
