Fees & Forms

Charges vary depending on the nature and severity of the Emergency. We are unable to give estimates over the phone and without a proper examination and diagnosis.

The staff on duty will provide you with a full written estimate. This will include your Emergency Exam Fee.

All examinations and services are payable at the time of service. We do accept CareCredit or ScratchPay,

Disclosure Statement

First Name

Last Name

SSN:

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

1) Emergency office visit and exam
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.

Cash

Credit Card

Care Credit(click to apply)

Scratch Pay(click to apply)

I accept terms & conditions

LAFAYETTE ANIMAL EMERGENCY CLINIC

Lafayette's longest established and only Animal Emergency Facility

Fees & Forms

Disclosure Statement

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

1) Emergency office visit and exam
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

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.

Fees & Forms

Disclosure Statement

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

1) Emergency office visit and exam 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

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.

1) Emergency office visit and exam
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