Step 1 of 2

  • Client Information

  • MM slash DD slash YYYY
  • Financial Policy

  • Wickiup Animal Hospital requires payment in full at the time of services. I am over 18 and assume financial responsibility for all charges incurred to the patient for services rendered. In the event of default payment and/or failure to pay, I agree to pay the costs of collection, including court costs and reasonable attorney fees to be determined by a court of law.
  • MM slash DD slash YYYY