I acknowledge that I am the owner and/or authorized agent and am over the age of 18. I have read and understand the above policies. I understand that Eastview Animal Hospital and their staff will be held harmless from decisions that I make on behalf of my pet that are against medical recommendations including but not limited to: declining of vaccinations, diagnostic testing, medications and purchases of medication through sources other than Eastview Animal Hospital or the online pharmacy, MyVetStoreOnline.
Full payment is expected when services are rendered We do not carry open balances. We accept the following forms of payments: Cash, Check, Visa, Mastercard, Discover, Amex or Care Credit. There will be a return check fee for any returned checks #f a balance is unpaid charges will incur a 1.5% monthly finance charge. A deposit may be required for emergencies, surgical procedures, hospitalizations and new clients. Please read and sign other side
Please select one option and initial next to it: Permission to use pet's photograph or video.