New Client Form

Village Veterinary Hospital and Companion Animal Eye Care requires payment in full at the end of your pet’s examination and/or at the time of discharge. For some treatment or hospitalized care, a deposit is required. Healthcare plans requiring comprehensive care of more than $500, will require a 50% deposit to begin your pet’s treatment.

Payment forms accepted: Cash, Visa, Mastercard, American Express, Discover, and Care Credit.

WE DO NOT ACCEPT CHECKS.

I, the undersigned owner or authorized agent of the above patient(s), hereby authorize the doctors of Village Veterinary Hospital and Companion Animal Eye Care to administer such treatment as is necessary. I understand that in accordance with section 18.34 of the California Civil Code, if the owner of any animal left in the hospital is not picked up within 14 days after the day the animal is to be released the animal shall be deemed abandoned.*