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Authorization for Medical/Surgical Treatment

  • Pet Information

  • I hereby give permission for the treatment/surgery for my pet and approve the estimate of services. I UNDERSTAND A 50% DEPOSIT IS REQUIRED AT THE TIME OF MY PET’S ADMITTANCE.
  • The individual signing this document represents that he or she is the owner (or agent of the owner) of the animal described above. I understand that by signing this document I am assuming full financial responsibility for all services rendered by Bull’s Head Pet Hospital. I further understand that if payment in full is not rendered at the time of discharge I will be charged interest at the rate of 1% per month on any outstanding balance until such time as the balance is paid in full. Additionally, if the matter has to be placed into collection I will be responsible for all costs of collection including reasonable attorney’s fees.
  • What you should know when your pet is hospitalized:

    1. Hospitalized patients are examined by the doctor twice daily, or more frequently if indicated.

    2. Visitation - Please contact us to discuss and arrange a mutually convenient time.