Redmond Veterinary Clinic
Providing Uncompromised Care for those Providing Unconditional Love

New Client Information and Agreement
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Please take a moment to complete any information that we have not already received from you along with the financial agreement.  We look forward to seeing you.

Contact Information
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Employement Information
Employed By:Work Phone:
Spouse Employed By:Spouse Work Phone:
How Did You Hear About Us?
If a client please let us know the name so we may thank them.
Emergency Contact Person:
Phone:

*Agreeing to the statement below constitutes a binding signature that I have reviewed the financial requirements and understand the hospital's policies and my obligations.

 

Financial Policy and Agreement

Redmond Veterinary Clinic receives no support from charitable organizations or the government. Only if we receive prompt payment for our services and products can we provide the Uncompromised Care that our clients and patients deserve. Thus, the following is the financial policy of this business.

  1. Acceptable means of payment include:
    • Cash or Checks
    • Credit Cards (Visa or Master Card, American Express)
    • Easi-Pay (In-house payment option for the convenience of our clients on invoices greater than $350)
    • CareCredit Financial Services
    • Pet Health Insurance

  2. As a convenience to our clients we provide grooming, boarding services, pet foods, medications and/or other pet supplies. Due to the low margins related to these items, full payment is required for them at the time they are provided.

  3. No ADDITIONAL SERVICES may be charged to any accounts with outstanding balances past 30 days due. Instead, all fees for such services or products MUST be paid at the time of service.

  4. "I understand and agree that any amount due for services are payable at the time of service. I understand and agree that interest in the amount of 1.5% monthly will be charged on my balance. Should any delinquent amount be placed with a collection agency for collection, I agree that an amount equal to 50% of the total bill will be added to cover any collection fees. In the event suit is filed, I will be liable for all reasonable attorney fees and court costs."

Redmond Veterinary Clinic 1785 N. Hwy 97 Redmond, OR 97756 (541) 548-1048 Fax (541)548-2323 e-mail us | site map | Employees Only