Pet and Animal Eye Doctor and Eye Care Center

ANIMAL EYE CARE CENTERCALL 301.990.6373 TO SCHEDULE AN APPOINTMENT

Pet and Animal Eye Doctor and Eye Care Center

ANIMAL EYE CARE CENTERCALL 301.990.6373 TO SCHEDULE AN APPOINTMENT

Pet and Animal Eye Doctor and Eye Care Center

ANIMAL EYE CARE CENTERCALL 301.990.6373 TO SCHEDULE AN APPOINTMENT

Pet and Animal Eye Doctor and Eye Care Center

ANIMAL EYE CARE CENTERCALL 301.990.6373 TO SCHEDULE AN APPOINTMENT

Pet and Animal Eye Doctor and Eye Care Center

ANIMAL EYE CARE CENTERCALL 301.990.6373 TO SCHEDULE AN APPOINTMENT

Pet and Animal Eye Doctor and Eye Care Center

ANIMAL EYE CARE CENTERCALL 301.990.6373 TO SCHEDULE AN APPOINTMENT

Pet and Animal Eye Doctor and Eye Care Center

ANIMAL EYE CARE CENTERCALL 301.990.6373 TO SCHEDULE AN APPOINTMENT

Pet and Animal Eye Doctor and Eye Care Center

ANIMAL EYE CARE CENTERCALL 301.990.6373 TO SCHEDULE AN APPOINTMENT

Pet and Animal Eye Doctor and Eye Care Center
Pet and Animal Eye Doctor and Eye Care Center
Pet and Animal Eye Doctor and Eye Care Center

WELCOME to the ANIMAL EYE CARE CENTER, LLC ‘A Site for Sore Eyes’


Registration Document


Click here to print hard copy to bring to the office or fill out the online form on this page.

Client Information

 

Pet's Information

 

Veterinary Information

  • ASSUME FULL FINANCIAL RESPONSIBILITY FOR ALL CHARGES INCURRED TO THIS PATIENT. PAYMENT FOR SERVICES IS DUE IN ITS ENTIRETY AT THE TIME THAT SERVICES ARE PROVIDED. IF A CHECK IS RETURNED, THE OWNER AGREES TO PAY A $25.00 PROCESSING FEE. IF FOR ANY REASON THE CHARGES ARE NOT PAID IN FULL AT THE TIME OF THE PET'S RELEASE, I WILL BE RESPONSIBLE NOT ONLY FOR THE BALANCE DUE, BUT FOR A $10.00 MONTHLY BILLING FEE. AS WELL AS FOR ANY COLLECTION AND/OR REASONABLE ATTORNEY FEES THAT ARE INCURRED IN THE ATTEMPT TO COLLECT THIS DEBT.

    ** IF YOU DO NOT SHOW AND DO NOT CALL TO CANCEL/RESCHEDULE AN APPOINTMENT. YOU WILL BE REQUIRED TO PRE-PAY FOR THE NEXT EXAM. REFUNDABLE ONLY IF EXAM IS CANCELLED/RESCHEDULED AT LEAST 24HOURS BEFORE APPOINTMENT TIME.
 

Verification

Pet and Animal Eye Doctor and Eye Care Center