By signing this form, I confirm and agree that I am the legal owner or the responsible party of the above-mentioned pet(s). I understand that payment for all services rendered is due at the time of treatment or services given. I understand that beginning at 30 days past due on any balance incurred, that interest charges will be assessed at 10% based on State Statute. If amounts owed exceed approximately 90 days past due, TLVC may use all legal methods to recover amounts owed including the Arizona Attorney General, or a local attorney. Collection charges will be added to the account and will be the responsibility of the client. If a court ordered judgment occurs, attorney fees will also be assessed. I understand photos and/or videos of my pet(s) might be used on social media or other online sources. If you do not wish for your pet’s photos/videos to be shared on social media, please let us know that you wish to opt out and we will note your account.
Forms of payment accepted: Cash, Visa, MasterCard, Discover, Amex, Care Credit and Bank Debit Cards
