New Client Form

As the rightful owner of the above described pet, Ihereby authorize the veterinary medical staff of Williamsburg Veterinary Clinic to examine, prescribe for, and treat said pet. I assume al financial responsibility for the charges incurred associated with these services. A treatment plan and financial estimate for recommended services will be provided for all hospitalized pets and upon request at any time. I understand that all charges are to be paid when services are rendered and that a deposit is required for all admitted pets. By signing this form, I acknowledge that I can request a written prescription per FL statute

We accept Visa, Mastercard, Discover, American Express, Debit, and cash payments. No personal checks will be accepted. We now offer a 6 month same-as-cash (interest free) option for approved applicants through Cherry (please ask for details). Our clinic also accepts and offers application for Care Credit, an independent medical credit line company which provides interest-deferred 6 month payment options (no interest if paid off in 6 months). Payment is due when services are rendered.