Co-owner's Name & Contact #
We ask that our clients provide a minimum of 24-hour notice for appointment rescheduling or cancellation. If 3 or more appointments are missed in a 6-month period, we require a deposit for exam cost ($53) in advance for future appointment scheduling, which the provider has right to charge for any additional missed appointments.
Appointment Date and Time
By entering your name below, I agree to pay in full for all treatments provided to my pet(s) by Old Towne Animal Hospital. I understand that all fees are due at the time of service. Any charges left unpaid will be sent to collections.
Date Format: MM slash DD slash YYYY