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