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Owner / Caregiver

Please provide the information below as completely as possible. All information is strictly confidential.

Pet Information

Statement Of Ownership

By checking below you certify that you are the owner and or agent of the above animal and have the authorization to consent to treatment if and when it is needed.

Payment is due when services are rendered. We do accept cash, debit and credit cards (Visa, MasterCard, Discover, American Express), and H3 WellnessPlus Cards.

WE DO NOT ACCEPT CHECKS.