Pet Information

Terms of Service

By completing this form, I authorize the release of my pet's veterinary information (patient medical records) to Animal Medical Center of the Village representatives.

I, the undersigned, certify that I am the owner or authorized agent for the owner of above listed pet(s), and accept full financial responsibility. I accept that full payment for services and products is expected at the time my pet is discharged, and I agree to pay all charges associated with these treatments according to the policies set forth by the practice.