Admissions Form

All services must be paid at the time of service. We accept cash, personal checks, VISA, MasterCard, Discover Card, American Express, debit cards and CareCredit.
A minimum of 50% of an estimate is required as a deposit for all major surgery and/or hospitalization at the time of admittance to the clinic. Emergency cases taken in after hours require a minimum of a $300.00 deposit at the time of admittance to the clinic for intensive therapy to begin.
Monthly payments may be made through CareCredit. An application must be completed and approved by the bank prior to your pet’s discharge. There is no application fee and no down payment required. There are interest free options available. Contact our client services for more information on CareCredit.

I request that Amherst Animal Hospital’s doctors and staff perform the services which are necessary for the examination and medical treatment of the animal(s) presented by me. I am the owner or agent for the owner of the described animal(s) and have the authority to execute this consent. I am at least 18 years of age.
I understand a written estimate will be provided at my request.
I assume financial responsibility for all the charges incurred to the patient for services rendered and understand that full payment is required upon discharge.