Client-Patient Registration Form

Thank you for giving us the opportunity to care for your pet. To ensure your pet gets the best care
possible, please take some time to fill out this form so we may better get to know you.

As a general reminder, our general exam fee is $89 per pet, $133 for emergency/Walk-Ins. Anything
done beyond that exam will accrue additional fees. All payments are due at time of services rendered.

I hereby authorize the veterinarian(s) to examine, prescribe for, medically treat, and perform surgery on
the above described pet(s). I assume responsibility for all charges incurred in the care of the said
animal(s), and am aware that payment is due upon time of services rendered. I understand that I may be
asked to pay a deposit fee at any time prior to treatment.