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New Client / Patient Information
Over 65
02:30 PM
Spayed / Neutered
Is your pet aggressive?

We will gladly prepare a written estimate, during the exam, if you so desire.  Please ask a receptionist or doctor.  Professional fees are due at the time services are rendered.

To help prevent the spread of infectious diseases, hospitalized and boarding animals must be current on all vaccinations.

DUE TO STATE LAW AND INSURANCE REQUIREMENTS, ALL DOGS & CATS MUST BE CURRENT ON RABIES VACCINATIONS.  Vaccinations can be updated at the time of your appointment if it is not current.   I understand every effort will be made to achieve a successful outcome and provide for all possible safety in hospital care and handling.  I hereby authorize 4 Paws Animal Hospital to receive, prescribe for, treat or perform surgery upon the pet(s) I present to the hospital.  I understand that a service fee of $ 33.00 will be assessed for each non-sufficient fund check.  If payment is not collected at the time of the visit, you will be sent to collections.  All payments are due at the time when services are rendered.  Pets will be considered abandoned if not picked up within 10 days of the discharge date and 4 Paws Animal Hospital will take over ownership rights of the pet.  By clicking on the submit button, I do hereby state that all information, given and stated within this form, is to the best of my knowledge correct.

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