Patient Information

Feeding instructions: We recommend you to bring your horse’s regular grain otherwise a ration balancer will be provided

TREATMENT CONSENT

I hereby authorize the performance of those diagnostic, anesthetic, surgical and therapeutic procedures as recommended, in the best interest of my horse by the clinical staff of Cleary Lake Veterinary Hospital. I understand that all reasonable precautions will be taken to assure the safety and well-being of my horse while in the hospital. I have been advised as to the nature of the procedure(s) or operation(s) and the risks involved. I realize that results cannot be guaranteed.

I understand that during the performance of the foregoing procedure(s) or operation(s), unforeseen conditions may be revealed that necessitate an extension of the foregoing procedure(s) or operation(s) or different procedure(s) than those set forth above. Therefore, I hereby consent to and authorize the performance of such procedure(s) as are necessary and desirable in the exercise of the veterinarian’s professional judgment.

Payment Policy

DEPOSIT IS REQUIRED UPON ADMITTANCE; FULL PAYMENT IS DUE UPON DISCHARGE.

A $30 service charge will be assessed for a returned check. I have discussed the estimate costs for the procedure(s) with a staff member of Cleary Lake Veterinary Hospital and I fully understand I am financially responsible for all costs incurred including 1 ½ % interest or $1.00 billing charge, whichever is greater, assessed monthly on unpaid balance.