Patient Registration

I hereby authorize GLENOLDEN ANIMAL HOSPITAL to examine, treat, medicate (including administering anesthetics or sedatives) or perform diagnostic or surgical procedures as deemed necessary for my pet(s). I understand that an estimate for services will be given upon my request and only written estimates will be honored. If and when my pet is hospitalized, a deposit of 50% of the estimate is required on admittance and as I assume full financial responsibility for all charges incurred by my pet I AGREE TO PAY FEES FOR SERVICES RENDERED AT THE TIME THE PET IS DISCHARGED FROM THE HOSPITAL OR WHEN SERVICE IS OTHERWISE PERFORMED. All unpaid balances will be subject to a 1.5% finance charge. Due to the nature of medicine, I realize that results cannot be guaranteed. Glenolden Animal Hospital will make every attempt to contact me in the event that charges exceed the estimate or additional procedures, treatments or diagnostics are recommended. In the event of an emergency or if I cannot be contacted, then I authorize Glenolden Animal Hospital to use professional veterinary judgment in the care/treatment of my pet and I again agree to pay all accrued charges. I hereby give Glenolden Animal Hospital permission to photograph my pets for use on the hospital's website and/or Social Media such as Facebook, Instagram, Twitter, ect.