I authorize treatment and/or service for any animal I bring to Peavine Animal Hospital. I agree to pay for all charges at the time services are rendered for my pet(s). I certify that I am the primary owner of the pet(s) listed in this form and am at least 18 years of age, or older. I authorize the secondary owner has the authorization to sign for any treatment(s) and settle any balance for my pet(s). I understand new clients require a deposit on the initial appointment and all surgeries require a deposit. I will inform Peavine Animal Hospital of any abnormal symptoms my pet(s) may be having at the time of check-in at each appointment. I understand that the staff of Peavine Animal Hospital will put my pets’ health first and foremost and that in the incident a medical-related reaction or incident occurs, I do not hold Peavine Animal Hospital responsible. I understand there are no-show and cancellation fees in the price of the examination if there is less than 48 hours notice of the cancellation. I also understand that I may be required to leave deposits for future services. I have read and understood all the above provisions of the Client Agreement with Peavine Animal Hospital. *

PAYMENT TERMS & AGREEMENT: Payment in full is required at the time services are rendered. You may pay with one of the following: Cash, check (current clients), or credit cards (VISA®, MasterCard®, and American Express®. Peavine Animal Hospital does not provide in-house billing. If you need more time to pay a large bill, you may apply for a payment plan through CareCredit®, ScratchPay®, or VetBilling®. Your credit history will determine whether you qualify for a payment plan. Ask one of our staff members for assistance if you wish to apply for a payment plan. 50% of the estimate for the cost of treatment plan is required as a deposit at the time of admission for all surgery, hospitalization, dentistry, and emergencies unless the client has a payment plan in place. *