Consent to Payment

Consent to Payment

  • Consent and Signature

    By signing below, I consent to Riverside Animal Hospital running the card above on the date specified above. I understand that I am responsible for payment of all services rendered in full. I understand that the staff at Riverside Animal Hospital will call me at the phone number(s) listed above on the date listed above before running my card. If I do not respond within 24 hours, I understand that the staff at Riverside Animal Hospital will run my card for the full amount of my balance, and will email my receipt to the email listed above.

Location

Location Hours
MondayClosed
Tuesday7:00am – 6:00pm
Wednesday7:00am – 6:00pm
Thursday7:00am – 6:00pm
Friday7:00am – 6:00pm
Saturday7:00am – 2:00pm
SundayClosed

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