©2017 BY LAFAYETTE ANIMAL EMERGENCY CLINIC

FEES

Our emergency exam fee is $95. The staff on duty will provide you with a written estimate if further treatments or diagnostics are needed.

Lafeyette Animal Emergency Clinic takes cash and all major card providers. We also accept CareCredit or ScratchPay

Charges will depend on the nature and severity of the problem. Unfortunately we are unable to give estimates over the phone and without proper diagnosis.

Disclosure Statement

I

have read and understood the conditions written below and by completing this form I verify that I understand and agree to them

1) The emergency exam fee is $95.00

   After examination, an estimate of charges may be reviewed with you. However, if your pet is in critical condition and in need of  immediate attention, treatment will be administered prior to your receiving an estimate and you will be liable for that cost of care

2) LAEC does not offer a billing or payment plan

   Full payment is due when services are rendered. If overnight hospitalization is necessary then payment is due before treatments can begin. You are liable for all charges incurred as a result of unforeseen treatments deemed necessary by the Veterinarian. Any remaining balance must be paid in full at pickup time

3) All hospitalized patients must be picked up between 7:00am and 7:30am on the morning of discharge

   A $15.00 late fee will be assessed if timely pickup is not made

Please indicate which form of payment you will be using for this visit.