• NameDog/Cat/OtherSexSpayed/Neutered?BreedColorBirthdayVaccine History 
    Add a new row
  • I hereby authorize the veterinarian to examine, prescribe for, or treat the above described pet(s). I assume responsibility for all charges incurred in the care of this animal. I also understand that these charges will be paid at the time of release and that a deposit may be required for surgical treatment.

    Animal Clinic of Benicia does not accept checks. We deeply apologize for any inconvenience this may cause you. Please fee l free w discus other o pt ion s with our receptionist. We do accept Cash/ Visa/ MasterCard/ Care C red it