Upon signing this agreement, I certify I am the Owner/Authorized Agent of above pet(s) and have authorization to consent to treatment if and when needed. I authorize AVH to examine, prescribe for and/or treat the above pets. I recognize that financial concerns should be discussed PRIOR to exam & treatment.
I understand I am entitled to ask for and be provided with a written estimate of fees regarding services and/or products prior to services being performed. I assume full responsibility for all charges incurred and understand these incurred charges are to be paid, IN FULL, at the time the services are rendered.
(Accepted payment methods: Cash, Credit Card (Visa, Mastercard, Discover, American Express), Check (DL # required) and Care Credit.)