Scottsdale Animal Hospital & Phoenix Mobile VeterinariansClient Financial Policy & AuthorizationsPlease read the following information carefully. Your signature below acknowledges that you have read, understand, and agree to the policies outlined in this document.
Financial PolicyOur primary mission is to deliver the best and most comprehensive veterinary care available for your pet. An important part of our mission is making the cost of optimal care as easy and manageable for our clients as possible by offering several payment options.
Scottsdale Animal Hospital & Phoenix Mobile Veterinarians requires payment in full at the end of your pet's examination unless other arrangements have been made in advance.
Payment OptionsWe accept the following forms of payment:
Cash*VisaMastercardAmerican ExpressDiscoverCareCredit® Healthcare Credit Card (convenient monthly payment options)*When paying in cash, change will not be given. Any remaining balance will be applied as a credit to your account.
Deposits & BillingAt the time of scheduling an appointment, a deposit equal to the examination fee will be collected. This deposit will not be refunded if the appointment is canceled within 48 hours of the scheduled appointment.
We may offer in-house payment options on a case-by-case basis.
A 5% interest charge will be applied to all outstanding account balances older than 30 days.
If your account becomes 120 days past due, Scottsdale Animal Hospital & Phoenix Mobile Veterinarians may refer the outstanding balance to a collection agency.
Treatment Authorization & Financial ResponsibilityI hereby authorize the veterinarian to examine, prescribe for, and/or treat the pet(s) described above.
I assume financial responsibility for all charges incurred in the care of these animals. I understand that payment is due at the time of my pet's release and that a deposit may be required for hospitalized cases.
Photography & Audio Recording AuthorizationI authorize Scottsdale Animal Hospital & Phoenix Mobile Veterinarians, its representatives, and employees, to photograph my pet(s) and to make audio recordings during appointments for the purpose of documenting and transcribing medical information for my pet's medical record.
I also authorize the use of photographs of my pet(s) in print and digital media, including the practice's website, social media platforms, and other marketing or educational materials.
Audio recordings and transcriptions will be used only for medical documentation purposes and will not be used for marketing without separate consent.
Pharmacy & Pet Insurance InformationThird-party pharmacies are available for some prescriptions.
For clients with pet insurance, we are happy to provide the necessary documentation for submission of claims to your insurance carrier.
If you have any questions, please do not hesitate to ask. We are here to provide the best veterinary care available for your pet.
Client AcknowledgementBy signing below, I acknowledge that I have read, understand, and agree to the Financial Policy, Treatment Authorization, Photography & Audio Recording Authorization, and Pharmacy & Pet Insurance Information outlined above.
I acknowledge that I have read, understood, and agree to the terms of this agreement. I intend my typed name above to serve as my legally binding electronic signature.
