Welcome To Lakeside Animal Hospital
DVM Dawn Lenihan,
DVM Kim-Vi Sweetman, BVetMed
(payment in full due at time of service)
I hereby authorize the veterinarian to examine, prescribe for, or treat the above described pet. I assume responsibility for all charges incurred in the care of the animal.
ALL PROFESSIONAL FEES ARE DUE AT THE TIME SERVICES ARE RENDERED. In the event this account is turned over for collection, I also agree to be responsible for attorney’s fees in the amount of 33 and 1/3% (percent) of the
outstanding balance. I understand interest will accrue for any balance over 30 days at a rate of 1.5%.
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Document Name: Welcome To Lakeside Animal Hospital
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