NEW PATIENT REGISTRATION

  • How did you hear about us?

  • Patient Information

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  • The above information is true to the best of my knowledge. I assume responsibility for all charges incurred in the care of my pet(s). I understand that these charges must be paid at the time of release and that a deposit may be required for any surgical procedures, appointments and/or hospitalization. I authorize Davies Animal Medical Hospital to release any information required to process any insurance claims. I also understand that Davies Animal Medical Hospital does not accept checks or billing. In addition, I understand that no guarantee of successful treatment is made and release the doctors and agents of Davies Animal Medical Hospital Hospital of any and all liability, and should a dispute arise, I will be financially responsible for any and all legal expenses incurred.

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  • Veterinary services are provided during night time hours as deemed necessary by the veterinarian in charge. Continued presence of a qualified person may not be provided.