Welcome to Our Practice!
Your Primary Contact Numbers
Include contact information for person’s authorized to treat
Second Pet Information
Third Pet Information
In the event that a request is made for your pet’s medical record to be released for any purpose, we would like your permission to release the record as follows
Ottawa Animal Hospital and it’s representatives hold the right to photograph my pet(s) and to use & publish said photographs for any lawful purpose, including, for example, such purposes as education, publicity, advertising, and web content.
PROFESSIONAL FEES ARE DUE AT THE TIME SERVICES ARE RENDERED
We accept cash, local checks, Visa, MasterCard, Discover, American Express, and Care Credit.
I agree to be responsible for authorizing procedures and/or paying for services. Any unpaid balance will accrue finance charges monthly and court fees if sent to collections
Statement of Ownership
I certify that I am the true owner and/or agent of the above animal(s) and have authorization to consent to treatment if and when it is needed. I understand that by signing this document, I agree to the above terms of service.