By sending the form I certify that I am the owner of the pet/s to be treated and authorize staff at The Country Vet to render anytreatment that is deemed necessary for my pet’s health. I am able to make medical and/or financial decisions about care. I understand that I may request an estimate for services recommended unless in emergency situations where the vets must act to save my pet’s life. I assume full financial responsibility for charges incurred and understand that payment IN FULL is required at the time services are rendered. If for some reason an account is not paid in full balances will accrue billing and interest fees andare subject to collection if not paid within 90 days.