CLIENT INFORMATION

I hereby authorize the doctors (and the assistants the doctor may designate) of Denton Veterinary Center to administer such treatment, diagnostic, anesthetic, and surgical procedure(s) as each of them deem necessary for the patient described above. None of the above will be held liable in any manner for the care, treatment, or safekeeping of said patient. It is thoroughly understood that I assume all risks.

Professional fees are to be paid at the time services are rendered. We no longer accept personal or business checks. We accept cash, debit, Visa, MasterCard, American Express, Discover and CareCredit. Interest charges at 18% per annum will be charged on all overdue accounts. Client is responsible for all interest charges and collection fees.

I hereby certify that my pet is up to date with the appropriate vaccines required for his/her species and assume all responsibility for any problem that may arise if my pet is not.