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Client Registration Form

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Primary Mailing Address
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Financial Policy:

Our office accepts all major credit cards, cash, and check (with proper identification). Payment plans are only offered through our partners ScratchPay and Carecredit. FULL PAYMENT IS DUE AT TIME OF SERVICE regardless of payment type. Clients with payment concerns are asked to speak with a staff member before their pet receives treatment of any kind. Our staff is happy to provide any client with a written treatment plan prior to services being rendered. For extensive medical care or surgical procedures a deposit may be required. By signing below, clients understand and agree that if their account were to go to collections, any legal process will take place in Gallatin County, and they will be responsible for all collection costs including, but not limited to, attorney fees, collection agency fees that may be up to 50% of the amount owed, court costs, and debit/credit card transaction fees.

Photo Consent:

We love social media! Do we have your permission to share your pet(s) image and story on social media? No client personal information will be shared. Simply select below to authorize.

Rabies Vaccination Requirement:

A current rabies vaccination will be required for treatment and care of all patients at Foothills Veterinary Hospital. If vaccine history is unknown please be advised that hospital policy requires immediate vaccination of that animal, at the cost of the owner, for continued care at our hospital. For questions regarding this policy please speak to any staff member

Rabies Vaccination Requirement
Species
Sex
Is your pet current on a rabies vaccine?
please provide a copy of rabies certificate
Add another pet?

Pet Information - Second Pet

Species
Sex
Is your pet current on a rabies vaccine?
please provide a copy of rabies certificate
Sign above
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