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New Patient Card

We know your pet’s health is important and we thank you for trusting us to care for them. To help us provide the best care possible, please take a few moments to fill out this form completely. Thank you!
  • Authorization

    PROFESSIONAL FEES ARE TO BE PAID AT THE TIME SERVICES ARE PERFORMED.In admitting my pet(s) for diagnostic, treatment, or surgery, I authorize the veterinariansof BlackfaldsVeterinary Hospital, and their support staff, toperform such treatment and/or perform such diagnostic or surgical procedures as deemed necessary. It is understood that an estimate of charges will be given for services at the client’s request. No guarantee or assurance can be made as to the results that may be obtained. I understand that a deposit of 50% may be required before services are performed and I assume full financial responsibility for all charges incurred by my pet. I realize that these charges may exceed a given estimate if complications arise. I understand that I will be contacted prior to treatment, if possible,should complications occur.