Upstate Vet operates solely on the funds collected from the treatment and care of your pets. We are not subsidized by any organization, private or public; therefore, we must adopt a strict payment policy in order to provide you and your pet the best possible care. Upstate Vet does not bill or offer any type of payment plans. For those clients that may need financial assistance to provide for their pet’s care and treatment, please ask our receptionist about the Care Credit Plan.
Upstate Vet requires that all fees be PAID IN FULL when service is rendered (Our Emergency Exam Fee is $220 and our Specialist Exam Fee is $265). Additional Fees will be estimated in a Treatment Plan by the Attending DVM at your request.)
Any balance left unpaid upon completion of services will be subject to billing fees.
I understand that failure to pick up this animal and pay all charges incurred during treatment will result in this animal being transferred to an appropriate animal shelter pursuant to State Ordinance 47-3-75 subsection a, dated May 19, 2000. Sub-section C of said ordinance states, “A person who fails to pick up an animal provided for in subsection A, who fails to pay his boarding fees in a timely manner, or who abandons an animal at an animal hospital, a dog kennel, a cat kennel, another animal care facility, or boarding facility is guilty of a misdemeanor and upon conviction, may be imprisoned not more than thirty days or fined not more than two hundred dollars.”
ScribbleVet Consent and Release:
Our Veterinary services utilize ScribbleVet, a tool from Kairo Care Inc. Which records your pet’s appointments for improved clinical documentation. We need your consent to proceed with recording. By signing this agreement:
- You agree that your vet appointments may be recorded. If you do not want to be recorded, let us know
- You grant us permission to share these recordings, and any other materials you choose to provide, for the purpose of improved clinical documentation
- You affirms that you are least eighteen years old, and that you understand and accept the terms in this agreement.
I, as the owner or responsible party, agree that the above information is accurate. I have also read and understand the rabies policy of Upstate Vet. I authorize Upstate Vet to administer such treatment as is necessary and is considered therapeutically and/or diagnostically necessary on the basis of findings during the course of the evaluation. I also consent to the administration of such anesthetics as are necessary. I also certify that no guarantee or assurance has been made as to the results that may be obtained. Furthermore, I assume all financial responsibility for charges incurred to the patient, consent to release of medical information, and authorize direct payment to Upstate Vet. I understand that I am liable for all collection costs, up to 100%, incurred for this account.
My electronic signature indicates I have read, understand, and agree to the payment agreement and the rabies policies as outlined above as well as the procedures governing them.