I, the undersigned, do hereby certify that I am the owner (or a duly authorized agent for the owner) of the pet named above. I consent and authorize Robertson County Animal Clinic (RCAC) to hospitalize, administer vaccines, medications, and anesthetics; and perform tests and surgical procedures that the doctors deem necessary for the health, safety, and well-being of the patient while at RCAC.
The nature of the treatments and procedures has been explained to my satisfaction. I realize that no guarantee can ethically or professionally be made regarding the results, cure, or outcome.
I understand that I, the undersigned, assume financial responsibility for all services rendered and that payment in full is due at the time services are performed.
Should I not pay in full and my account becomes delinquent, I also understand that I am responsible for any collection fees incurred.
The following services are not included in the base surgery prices. Please let us know if you would like an estimate before your pet's procedure.