(Check all that apply) Puppy/Kitten Elderly Pet Care Desert Dangers Behavior Nutrition Dangerous House plants Joint Care/Exercise Emergencies To prevent the spread of infectious diseases and parasites, hospitalized and boarded animals must be current on vaccines and free from parasites. Vaccines and parasite control will be provided as needed. Financial Responsibility: Professional fees are due when services are rendered at each visit. You will be charged for any costs associated with the collection of any amount outstanding, and you agree to this policy by signing below. If you need financial assistance, please ask our receptionist about Care Credit. ___________________________________________________ ______________________________ Owner Signature Date Additional information: ___________________________________________________________________________________ Thank you for giving us the opportunity to care for your pets. Welcome to the Cortaro Farms family. Please visit us: On the web: On our blog: www.cortarovet.blogspot.com On Facebook: Cortaro Farms Pet Hospital I hereby give permission to Cortaro Farms Pet Hospital to publish our testimonial, photograph or digital radiograph image on our website, cortarofarmspethospital.com and social media outlets. __________________________________________ ___________________________________ Owner Signature Date
(Check all that apply) Puppy/Kitten Elderly Pet Care Desert Dangers Behavior Nutrition Dangerous House plants Joint Care/Exercise Emergencies To prevent the spread of infectious diseases and parasites, hospitalized and boarded animals must be current on vaccines and free from parasites. Vaccines and parasite control will be provided as needed. Financial Responsibility: Professional fees are due when services are rendered at each visit. You will be charged for any costs associated with the collection of any amount outstanding, and you agree to this policy by signing below. If you need financial assistance, please ask our receptionist about Care Credit. ___________________________________________________ ______________________________ Owner Signature Date Additional information: ___________________________________________________________________________________ Thank you for giving us the opportunity to care for your pets. Welcome to the Cortaro Farms family. Please visit us: On the web: On our blog: www.cortarovet.blogspot.com On Facebook: Cortaro Farms Pet Hospital I hereby give permission to Cortaro Farms Pet Hospital to publish our testimonial, photograph or digital radiograph image on our website, cortarofarmspethospital.com and social media outlets. __________________________________________ ___________________________________ Owner Signature Date
Admit_Form_WAutofill_1.docx