Wake Vet Hospital & Urgent Care
Raleigh, NC Animal Hospital
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Thank you for choosing Wake Veterinary Hospital & Urgent Care! Our primary mission is to provide compassionate care, affordable rates, and superior comprehensive veterinary care with a family approach. We diligently strive to ensure that the cost of quality veterinary care is as economical and manageable for our clients as possible by offering multiple payment options.
We offer multiple payment options in the form of: Cash, Check, Visa, MasterCard, Discover, American Express, and Care Credit.
**All returned checks will be charged an additional $35.00.**
Any necessary treatments and/or hospitalized care will be provided an estimate and a REQUIRED deposit amount of 50% of the estimated cost of care is due prior to procedures.
**Wake Veterinary Hospital & Urgent Care requires payment in FULL at the time of check out.**
By signing below, you acknowledge and fully understand the Wake Veterinary Hospital & Urgent Care financial policy and agree the Wake Veterinary Hospital & Urgent Care terms of payment.
Electronic Signature
*
Pet Registration
1st PET INFORMATION
Pet Name
Species
Dog
Cat
Reptile
Exotic
Breed
Color
Date of Birth
Date Format: MM slash DD slash YYYY
If unknown, approximate age:
Sex
Male
Female
Spayed/Neutered?
Yes
No
Is your pet up to date on vaccines?
Yes
No
Please list prior illnesses, surgeries, or allergies:
Is your pet currently on any medications?
Yes
No
Names and dosage:
2nd PET INFORMATION
Pet Name
Species
Dog
Cat
Reptile
Exotic
Breed
Color
Date of Birth
Date Format: MM slash DD slash YYYY
If unknown, approximate age:
Sex
Male
Female
Spayed/Neutered?
Yes
No
Is your pet up to date on vaccines?
Yes
No
Please list prior illnesses, surgeries, or allergies:
Is your pet currently on any medications?
Yes
No
Names and dosage:
Photo Consent
I hereby grant Wake Veterinary Hospital & Urgent Care permission to take photographs of my pet(s), and to publish those photographs for any lawful purpose, including but not limited to their website, social media accounts, and promotional materials either digital or in print, in perpetuity. I understand that Wake Veterinary Hospital & Urgent Care will not use my name or my pet's name.
By electronically signing this form I authorize Wake Veterinary Hospital & Urgent Care to edit and share the photograph(s) mentioned above. I also waive any rights of privacy or compensation associated with the use of my pet(s) image(s) for the personal or commercial purposes outlined above.
Electronic Signature
Raleigh, NC Animal Hospital
Raleigh, NC Animal Hospital
