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  • Client Information

  • Pet Information

    • Pet 1 Information 
    • Pet 2 Information 
    • Pet 2 Information

    • Pet 3 Information 
    • Pet 3 Information

    • Pet 4 Information 
    • Pet 4 Information

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    • Primary Veterinarian

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    • Pet Insurance

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    • Agreement

    • I authorize and direct the veterinarians at Brown Road Animal Clinic to diagnose including necessary lab work and testing, prescribe, perform therapeutic and treatment procedures, and/or surgery that their judgement may dictate to be advisable for the patient’s well-being. No warranty or guarantee has been made as to the result of cure, and I am aware that that treatment can come with inherent risk factors.

      ALL FEES ARE REQUIRED TO BE PAID IN FULL AT THE TIME OF SERVICE. A DEPOSIT IS REQUIRED FOR ALL HOSPITALIZED PATIENTS.

      If you need payment arrangements we do partner with a financial alternative through Care Credit for services over $200.00. We Do Not Accept Checks.

      In the event any balance is due hereunder is not paid as agreed, the undersigned jointly and severally agree to pay all costs including in said unpaid balance, including a reasonable collection and/or attorney’s fees. A monthly “service fee charge” of 2.00 will be added to all accounts that exceed 30 days.

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