Client / Owner Information
Pet Information
What areas do you take your pet? (check all that apply)
Are any of these a concern regarding your pet today? (check all that apply)
Doctor Referral

As a client of Family Pet Veterinary Center, you acknowledge that all payment is due when services are rendered. You also understand that your account balance will be doubled if this account is assigned to an agency for collections. There is a $30.00 charge for each/any returned check and are subject to prosecution by the district attorney’s office. When paying by check, a valid driver’s license must be presented.

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