Client Forms in Carmel, IN

PAYMENT POLICY: All fees are due at the time services are rendered. We Accept cash, checks, all major credit cards and offer Care Credit for surgical and extensive medical services. A deposit of 50% of initial estimate is required when an animal is admitted for medical/surgical services. The remainder of your payment is due upon discharge of your pet.

My signature indicates that I understand that I am responsible for all fees incurred in treating my pet. I hereby authorize the veterinarian to examine, prescribe for or treat my pet, and to have my pet's photo displayed on the clinic's website and/or Facebook. I agree to pay for the reasonable costs of collection, attorney fees & court costs in the even that collection efforts become necessary.

I verify that I am the owner (or authorized agent for the owner) of the above-named pet and authorize the above procedure to be performed. I authorize the use of anesthesia and other medication as deemed necessary by the veterinarian. I have been advised as to the nature of this procedure to be performed and the risks involved. I understand also that there is always a risk associated with any anesthesia, even in apparently healthy animal and have discussed my concern with the veterinarian.

I understand that it may be necessary to provide medical and/or surgical procedures which are not anticipated for the safety or care of my pet. I hereby consent to and authorize the performance of such altered and/or additional procedures as are necessary in the veterinarian's professional judgment. I agree to be responsible for any charges incurred while my pet in in the care of Yellow Dog Veterinary Clinic and understand that payment is due at the time my pet is released from the clinic. I understand no staff will be attending to my pet overnight (pets needing special care may be referred to a 24-hour hospital).