"*" indicates required fields

Client's Name*

I authorize Pearl River Animal Hospital to provide veterinary services as needed for the well-being of my pet.

I understand that I, or my agent, assume financial responsibility for all services rendered and payment is required when my pet is discharged.

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*All animals admitted must be free of external parasites, any animal found to have fleas or ticks will be treated at the owner's expense.
This field is for validation purposes and should be left unchanged.