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Owner's Name*
Address*
Thank you for considering our clinic for your pet's needs. We operate on an appointment-only basis and require a deposit to secure your appointment. The deposit will be applied towards your total bill at the end of the visit. To ensure optimal care for all our clients, we kindly request a 24-hour notice if you need to cancel your appointment. This allows us to offer the time slot to another pet in need. If a cancellation occurs within 24 hours of the appointment, the deposit will be used as a cancellation fee. We greatly appreciate your understanding and cooperation in this matter as it helps us maintain an organized appointment schedule and provide excellent service to all our clients. We look forward to serving you and your pet. Please check the box below to acknowledge your understanding of this policy.*
I Hereby authorize the veterinarians and Staff of Clarksville Animal Clinic to examine, prescribe for, or treat, any pet(s) on my account. I assume responsibility for all charges incurred in the care of these animals. I also understand that these charges will be paid at the time of the animal’s release and that a deposit may be required for surgical and/or emergency treatment.
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