Pet Owner Info

Pet Info

Dog Cat
Male Female
Yes No

Service Info

Wellness Visit Sick Visit Emergency Visit
Dr. Hefter Alana

I hereby authorize the veterinarian to examine, prescribe for, or treat the above described pets. I assume responsibility for all charges approved and incurred in the care of the animal. I also understand that all professional fees are due at the time services are rendered. In the event of non-payment, I agree to be responsible for all costs of collection and/or court costs and reasonable attorney’s fees.