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FINANCIAL POLICY
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Payment in full is required at the completion of services. Final payment may be made by credit card, cash, or check. Please note all returned checks will be charged a $35 fee. If the account is NOT paid in full at the completion of services, and after your review of the final bill, the amount due will be charged to your credit card.
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CANCELLATION POLICY
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There is a cancellation fee for no shows and appointments that cancel with less than 24hrs notice.
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I hereby authorize the veterinarian at CCESC and their assistants to examine and/or perform the necessary procedures. If any unforeseen condition arises in the course of the operation, calling for their judgment for any procedure in addition to or different from those now contemplated, I further authorize them to do whatever is necessary to avoid any unnecessary suffering by the animal (including euthanasia). I acknowledge that no guarantee has been made as to the results that may be obtained. This facility is not staffed 24 hours.
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PATIENT INSURANCE
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The insurance carrier for animals is handled differently than the medical insurance carried for yourself. We are not reimbursed by the insurance companies for services rendered. Cave Creek Equine will be happy to assist in completing the required insurance paperwork for your reimbursement once the account has been paid in full.
Discharge: If you are not present at the time of discharge, your completed invoice will be faxed or mailed to you and payment will be charged to the credit card you have indicated on your admission form. A copy of the receipt and your final bill will be mailed to you.
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| Signature (if you are printing this form): |
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I have read and understand the above stipulations. By checking this box I agree with the above
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