Skip to main content
facebook
HOME
EQUINE MASSAGE & BODY THERAPY
NOW HIRING!
BOOK APPOINTMENT
HOURS OF OPERATION
(541)-296-5059
MAP
LEAVE US A GOOGLE REVIEW
Who We Are
About Us
Angel Fund
Client Education Resources
FAQs
Careers
What We Do
Emergency Services
Location & Hours
Client Forms
Application for Hip/Elbow Dysplasia Database
New Client Registration Form
Small Animal Health Certificate Form
Equine Health Certificate Form
Radiograph Evaluation Application
Surgical Information Packet
Our doctors recommendation for your pet’s surgery
Online Pharmacy
search
Financial Policies Form
Thank you for choosing our office for your pet's veterinary care. Our practice can offer you and your pet state of the art medical and surgical care, assist you in maintaining your pet's wellcare parameters, and provide a variety of ancillary services to you and your pet. Of course, the services that we provide do come with an associated cost. We hope that financial considerations will not be an obstacle to offering the best level of care to your four-legged family member. We are always available to answer your questions or to assist you in any way that we can. The information in this form is to further communicate to you the variety of payment options that we offer to ensure that the cost of care is not a barrier to the quality of care.
Name
*
First
Last
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Email
*
Phone
*
For you and your pet's benefit:
A HealthCare Plan or estimate will be provided prior to the providing of services.
All of our fees are due and payable at the time that treatment is rendered.
For pets that are hospitalized, we will request a deposit of at least %50 of the HealthCare Plan at the time of admission.
We will update you daily on both your pet's clinical condition and the status of your account.
Payment in full is required at the time of pick up.
We accept the following forms of payment: Cash Check MasterCard Visa American Express Care Credit (ask us for more information if you have not heard of Care Credit)
We suggest that you purchase pet insurance for all eligible or insurable pets
We believe in the value of clear communication as well as mutual understanding and respect.
We believe that our clients would like to know and understand our financial guidelines in advance of their pet's treatment.
We are happy to discuss the HealthCare Plan and our practice guidelines with you at anytime.
To be able to offer the level of care and service that we do, we cannot deviate from these outlined policies.
SURGERY DEPOSIT FEE
A $50 deposit is required to schedule any procedure, except for rabbit and cat neuters. This deposit is collected at the time surgery is scheduled and will stay on your account as a credit to be used toward your pet’s procedure. If you need to reschedule or cancel your pet’s procedure, please let us know more than 24 hours in advance or the deposit will be forfeited.
NO SHOW POLICY
A $50 deposit is required if a client accumulates three or more no show appointments or fails to provide a 24- hour notice of cancellation. Clients will be required to pay $50 deposits on all future appointments. If you need to reschedule or cancel your pet’s procedure, please let us know more than 24 hours in advance or the deposit will be forfeited.
Consent
*
I agree to the policies
By signing below, you indicate that you understand and agree to these financial guidelines.
Δ
Who We Are
About Us
Angel Fund
Client Education Resources
FAQs
Careers
What We Do
Emergency Services
Location & Hours
Client Forms
Application for Hip/Elbow Dysplasia Database
New Client Registration Form
Small Animal Health Certificate Form
Equine Health Certificate Form
Radiograph Evaluation Application
Surgical Information Packet
Our doctors recommendation for your pet’s surgery
Online Pharmacy
facebook