11331 Long Road
Fort Myers, FL 33905

BILLING POLICY (Updated 1-20-10)

OUR PRACTICE REQUIRES PAYMENT AT THE TIME OF SERVICE unless prior payment arrangements have been made. This policy is designed around a simple and straightforward approach of paying for your veterinary services in the same standard as most veterinary practices. We encourage you to discuss costs prior to treatment of your animal(s) if you have any concerns as to what your financial responsibility will be.

For insured animals, payment is due at the time of service. It is the animal owner's obligation to collect from their insurance carrier. We will be happy to provide supportive documentation for a claim, should a claim form be provided to us.

Please understand ... If payment at time of service or payment arrangements prior to time of service are not made, treatment will not occur. Accounts with outstanding past-due balances will be suspended from receiving any further services until the account is paid in full. Financial arrangements may ONLY be made by contacting the practice directly, at 941-312-7766.

Cash or checks are always accepted and preferred. There will be a $15.00 fee plus any bank charges for any check that does not clear (this usually comes out to $50.00). We also accept debit cards, Visa, MasterCard, and American Express.

By signing below, I certify that I've read the above policy and understand all the terms of this policy. Furthermore, I accept full financial responsibility for the payment of services rendered, including any reasonable legal costs and attorney's fees incurred in connection with collection for services. I also agree to full financial responsibility for treatments preformed in my absence. Balances over 30 days will incur and 18% APR finance charge (assessed monthly at 1.5% per month). Any balances over 90 days will be subject to referral to collection agency as well as legal action.

I hereby authorize any of my agents listed below to request veterinary treatments for my animal(s) and I understand that I will be fully responsible for payment of all services provided during any treatment.

My authorized agents are: