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Apple Valley Veterinary Clinic - New Patient Form

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    All Fees are due at the time services are rendered ● We offer the following alternatives.
    Cash ● Visa/Mastercard/Discover ● Care Credit ● (we do not accept personal checks)

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    I agree to pay any costs and charges necessary for the collection of any amount paid when due. Interest is charged at the rate of 1.5%mo/18% year or $5.00 per month, whichever is greater.

    To prevent the spread of infectious diseases and parasites, hospitalized or boarded animals must be current on all vaccines and free of internal and external parasites.

    I authorize Apple Valley Veterinary Clinic to provide medical services as recommended by the Veterinarians of Apple Valley Veterinary Clinic.

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