New Client Form

Please complete our New Client Form.
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Name
Address
How did you hear about our clinic?

Pet Information

Species
Sex
Neutered / Spayed
Client understands and agrees that payment in full is due upon services rendered and that a deposit may be required in some cases. Because HHAH invoices at the time of the visit, on the odd occasion a fee may be overcharged or left off the original invoice. Either way, as soon as an error is found, it will be corrected and you will be informed as soon as possible. Checks over $100.00 are not accepted unless client leaves a valid credit card with expiration date on file. If said services are not paid for, then the client agrees to pay service charges and a minimum billing charge of $3.00 per month. Client further understands that should this account be placed for collections, client agrees to pay all costs of collection including, but not limited to collection fees, reasonable attorney fees and court costs. There is a minimum $30.00 fee for all returned checks.
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