New Client Form

Please provide our practice with previous medical records/vaccination history. If you would like an estimate for any medical
treatment/procedure, please ask and we will provide a treatment plan with the projected cost for you. Depending on the extent of treatment
needed, the final cost is subject to change. Unfortunately, we cannot always determine exact cost of treatment based on initial examination.
Your signature below authorizes any treatment deemed necessary by our veterinarians and acknowledgement that the associated charges
are your responsibility. For protection of you and your pet, all required vaccines must be current. We require written proof or phone
confirmation from your referring veterinarian. If you are unable to provide proof before close of business on arrival day a Companion Animal
Hospital veterinarian will provide a comprehensive physical exam and administer appropriate vaccines/services. Charges for these
services are your financial obligation. Accounts not paid with in terms are subject to a 10% monthly finance charge. Your pet
must be free of internal and external parasites upon entry to our facility. If parasites are discovered we will treat your pet at your
expense. Please note that most vaccines take 14 days to stimulate optimal immunity & all pets should be vaccinated before boarding entry.
If vaccinated upon entry please realize that your pet(s) may contract an infection and it is beyond Companion Animal Hospital & Boarding
Center’s control. Just like in children daycare services, if your pet becomes sick at any time in our facility or after leaving our facility, medical
treatment expenses are my responsibility as the owner.
By signing below, I also grant Companion Animal Hospital permission to post my pet’s picture, story and medical information on social media.
Payment in full is due at the time that services are rendered.
For your convenience, we accept cash, check, MasterCard, Visa, Discover, American Express, and CareCredit.
By signing below, I agree, understand and approve of the terms of stated polices.