New Patient Form

We gladly prepare a written estimate of service fees if you desire (please ask our doctor or receptionist).  All professional fees are due at the time services are rendered.  In cases of extensive medical or surgical procedures where full payment may be difficult at discharge we accept major credit cards or can establish a payment arrangement if approved in advance of treatment.  There will be a service charge of any check returned unpaid.

To prevent the spread of infectious diseases, all hospitalized patients must be current on all vaccines and free from internal and external parasites.  The signature below authorizes this level of preventive care and the appropriate charges will be assessed in the discharge invoice.