Primary Phone Number*
Secondary Phone Number
Date of Birth (or approximate age)*
Colors & Markings*
Altered Neutered MaleSpayed Female
If Microchipped, what is the number
Has your pet had any recent vaccinations? If so, when and where?
Would you like us to send you a reminder when your pet's vaccines are due? YesNo
Who can we thank you for referring you to us?
Financial Policy: All About Pets Hospital requires payment in full for professional services rendered at the time of discharge from the hospital unless arrangements have been made in advance for payment. Terms: Net 30 days from the date of the invoice unless otherwise indicated. A finance charge of 1.5% per month (APR 18%) of the unpaid balance will be added monthly. Should collection become necessary, the responsible party agrees to pay an additional 40% collection fee, and all legal fees of collection, with or without suit, including attorney fees and court costs.
As the legal owner or responsible agent of the above animal(s), I certify that I have read and agree to the above financial policy. I hereby assume financial responsibility for all services rendered.
2255 North Freedom Blvd. Provo, UT 84604
Pet Urgent Care 428 W 800 N Orem, UT 84057
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All About Pets