Appointment Registration Form

I have reviewed and understand CVCA's Protocol and agree to the adjusted workflow. I understand that payment in full is due at the time of service and under CVCA's guidelines agree to pay CVCA no later than 5:00 pm on the day that services are rendered. I agree to assume financial responsibility for all professional fees and understand that a service fee of 1.5% will be charged on any unpaid balance. CVCA may also recover reasonable attorney’s fees and court costs incurred as a result of my failure to pay in accordance with this authorization.

By clicking submit below, you consent to allow CVCA Cardiac Care for Pets to store and process the personal information submitted above to provide you the content requested.