**To prevent the spread of diseases and parasites, we recommend animals be current on all vaccines. Pets with fleas will be treated with a topical or
oral flea medication on admission, and the prescription price will be included in the invoice**
I understand every effort will be made to achieve a successful outcome and to provide for all possible safety in hospital care and
handling. I hereby authorize this hospital to receive, prescribe for, treat or perform surgery upon the pet(s) listed on the reverse side
and additional pets I present. Furthermore, I agree to pay fees for services rendered at the time the pet is discharged from the hospital
or the service is otherwise terminated. I agree to pay for the reasonable costs of collection in the event that collection efforts become
necessary. I understand that a service fee of $29.00 will be assessed for each non-sufficient fund check and/or certified letter that must
be sent. Continuous presence of qualified personnel may not be provided. If I neglect to pick up my pet within 5 days of the discharge
date and do not notify you within that time period, we may assume that your pet is abandoned and are hereby authorized to dispose of
your pet as we deem best and/or necessary.
