New Patient Information

Client / Owner Information

Please note, if you do not provide a Texas Driver's License number, it will be necessary to pay for all services in advance, by cash or credit card.

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Pet Number 1
Full payment is required at the time services are rendered. For your convenience we accept Master Card, Visa, Discover and American Express Cards. Please indicate method of payment you prefer.

I hereby authorize the veterinarian to examine, prescribe for or treat the above-described pet(s). I assume responsibility for all charges incurred in the care of this animal. I also understand that these charges must be paid in full, at the time of release of the pet.

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