Patient Registration

  • Pets (Dogs and Cats):
  • Horses
  • Farm Animals
  • **Professional fees are to be paid at the time of service**

    Please check your method of payment.
    Visa, Mastercard, AMEX, & Discover Accepted.
  • I understand it is the policy of the Elkhorn Veterinary Clinic Ltd. to assess a late payment fee of 1% per month, APR of 12%, on any unpaid balance after 30 days and agree to abide by the policy
  • Date Format: MM slash DD slash YYYY
  • Person presenting this pet for treatment,
    if not the owner
  • Relationship to Owner
  • Thank you for giving us the opportunity to be your veterinarian.