Northside Veterinary Hospital New Client Information

Northside Veterinary Hospital     1090 West Moore Road     Hillsdale, MI 49242     (517) 437-5544

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Authorization of Treatment and Financial Responsibility:
By checking the box I certify that I am the owner of the above pet(s), or acting as agent for the owner, and authorize Northside Veterinary Hospital to treat the above-listed animal(s). I accept full financial responsibility which will be paid, in full, at the time of release of the animal(s), unless other arrangements are made in advance. A deposit will be required on all surgical and hospitalization procedures. I have read and understand this authorization and consent. *
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