Welcome to Ark Animal Hospital

Client Information

Is your Mailing address the same as your Physical address?

If No, please list mailing address below

Pet Information

Sex:

Sex:

Sex:

Sex:

Payment Agreement:

Payment is expected at time of services. For your convenience, we accept MasterCard, Visa, American Express, Discover, Cash or Check. We also accept CareCredit and Scratch Pay as a form of payment. In the event I, the owner, fail to pay for services rendered, I, the owner, agree to set up a monthly payment plan that is subjected to a monthly financing charger of 1.5% (18% APR) added onto the past due amount. If no payments have been made in within 120 days of services or last payment, your information will be sent to a collection agency or small claims court. I, the owner, hereby understand that by signing this legal document, my information may be used to collect upon a future balance owned to Ark Animal Hospital.