Conley and Koontz Equine Hospital requires all clients to have a credit card on file or pay at time of service. The credit card on file will be charged for the balance of appointment within 24 hours.

*This agreement needs to be completed and signed before any routine appointment can be scheduled*

Horse's Information
Second Horse Information
Third Horse Information
Authorized Agent (Trainer/barn owner/Lessee, etc.)
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Services (Please check each box to indicate your agreement with the terms and conditions – required)

Invoicing Preferences

Payment/Credit Policies

We believe that effective communication of fees and payment policy is vital to maintaining a good working

relationship.

  • Payment by cash, check, Visa, MasterCard, Discover, or American Express is expected at time of veterinary services. If not paying at the time of service, it is required that a current credit card is on file to then be ran within 24 hours of appointment.
  • All in hospital admissions require a 50% deposit of the upper end of estimated total and that balance be paid in full before patient discharge.
  • Returned checks: a fee of $25.00 will be applied for any NSF checks.
  • Questions: If a client has a question about their account we ask that you bring it to our attention as soon as possible. We strive to be forthcoming and honest to our clients and welcome any inquiries you may have.
Credit Card Information and Signatures
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CK Equine Hospital charges 18% per annum (1.5% per month) on all balances over 30 days old. A $45 late fee is applied should the card be declined or if I fail to provide updated credit card information should CK Equine Hospital Inc request such information. I agree to pay all costs incurred with collection of debt, any court costs, and reasonable attorney fees. I am the account holder of the above card.

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