Authorization:
I hereby authorize the veterinarian to examine, prescribe
for, or treat the above described pet. I assume responsibillity
for all charges incurred in the care of this animal. I
also understand that these charges will be paid at the
time of release and that a deposit may be required for
surgical treatment. Any overdue account past 30 days is
subject to 1 1/2% interest each month and are liable for
legal and collection fees.
