Liability Disclosure Statement

  • The Small Animal Clinic at Piedmont Equine is open and staffed the following hours:

    Monday - Friday 8:00 AM – 6:00 PM Saturday 8:00 AM – 12:30 PM
  • There will not be on-premise staff overnight on weeknights, federal holidays, or from 12:30 PM Saturday afternoon until 8:00 AM Monday morning. Should your pet require intensive care monitoring during our closed hours, we recommend local 24-hour facility Artemis Veterinary Emergency & Specialty Services, who can be reached at (703) 722-9159. I understand the level of care and supervision provided for my pet should he/she stay overnight at The Small Animal Clinic at Piedmont Equine.
  • Authorization

    I have read and understand the above liability disclosure statement
  • Veterinary Services Contract

    Client Information
  • Service Contract

    I understand that payment is expected for all services rendered at the time of my visit. We accept cash, American Express, Visa, Discover, MasterCard, Care Credit, and personal checks. If payment plans are needed for extensive medical or surgical treatment, a 50% deposit at time of treatment and an agreed upon repayment plan will be required.
  • Authorization

    I have read and understand the above service contract. By signing below, I verify that all the information provided above is accurate to the best of my knowledge.
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