New Client Form

I understand that all fees are due at time of service. If you are in need of alternative payment arrangements please discuss that prior to completion of services.

I hereby authorize the veterinarian to examine, prescribe for or treat the above-described pet(s). I understand that all animals must be current on vaccinations and testing for boarding, grooming, daycare and hospital procedures. I assume all responsibility for all charges incurred in the care of my animals. I also understand that these charges will be paid for at the time of release and that a deposit may be required for surgical treatments or hospitalization.

Photo Release: I agree that Alpine Veterinary Hospital may use such photographs of me and/or my pet(s) with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, web content, or social media sites.

I have read the above statement and by submitting this form, I understand and agree to the conditions above.