Thank you for giving us the opportunity to care for your pet. To insure the best possible care for your pet, please take the time to complete the information requested below.

PLEASE NOTE: Payment is due when estimate is presented and/or when services are rendered. We accept personal checks (in state only), Visa, MasterCard, Discover, Traveler’s Checks and Cash. Photo ID is required for all forms of payment other than cash. Personal checks require an Arkansas Driver’s license and a Social Security number. We do not accept business checks or 2 party checks (unless authorized by management).

Please present your Driver’s license to the receptionist to be photocopied if you would like to pay by check.

Pet Information

I authorize Southwest Pet Hospital to treat my pet(s), and agree to accept full financial responsibility for veterinary care provided. Payment is expected in full when services are rendered.