New Client Form in Waynesboro, VA

Thank you for choosing the Animal Hospital of Waynesboro. Our primary mission is to deliver the best and most comprehensive veterinary care available for your pet. An important part of that mission is working to make the cost of optimal care as manageable for our clients as possible while ensuring our continued operations.

Payment:

Treatment plans and cost estimates will be provided for comprehensive and/or hospitalized care. You may also request a cost estimate for any level of care. Payment is expected at the time services are rendered. For clients with pet insurance, we are happy to provide you with the necessary documentation to submit a claim to your insurance carrier.

The Animal Hospital of Waynesboro is not a financial institution, and we do not extend credit. We offer the following payment options:

• For your convenience, we accept cash, checks, VISA®, MasterCard®, American Express®, and Discover®. We require a Driver’s License or other official ID Number when paying by check. A $25 charge will be assessed for returned checks.
• CareCredit®: CareCredit offers an interest-free loan for amounts greater than $200 to be paid off within 6 or, if greater than $2,000, 12 months (additional options are available with applicable interest). You may apply online or over the phone. You will receive immediate information about your acceptance and credit limit. Brochures are available for your review.
• ScratchPay: ScratchPay offers payment plans of 3, 12, or 24 months with fixed monthly payments. The 3-month plan is offered interest free with no effect on your credit. You may apply online or via text and approvals are provided within minutes.

Deposits & Cancellation Fees:

Treatment plans requiring comprehensive care estimated at $500 or more will require your signature of acceptance and a 1/3 deposit to begin your pet’s treatment. A deposit to schedule an appointment (currently $35, but subject to change) may also be assessed if you miss multiple appointments and/or cancel multiple appointments with no notice (same day notice) in a six-month period.

A cancellation fee (currently $35, but subject to change) will be invoiced to your account when you cancel an appointment on the same day, or you do not show up for the appointment. This cancellation fee must be paid prior to scheduling another appointment. Exceptions will only be made due to an emergency.

Additional Information:

If you have an account that is 60 days or more past due, Animal Hospital of Waynesboro will submit the balance to American Profit Recovery to continue the collection process. If the account continues to be outstanding for a further 60+ days, the account will be officially placed for collection. Additional collection fees may be assessed, including but not limited to court costs and attorney fees, and your credit rating may be negatively impacted.

Our Practice Manager will be happy to answer any financial questions you may have. Please do not hesitate to ask. Our goal is to assist you in caring for your pet.

The Animal Hospital of Waynesboro

For Animal Hospital of Waynesboro to maintain a reasonable cost basis for its services, it is our policy that payment is due at the time services are rendered. By signing below, you acknowledge that you have been informed of this policy and intend to pay at the time of service.

You may ask for an estimate prior to the performance of any recommended services. Treatment plans and cost estimates will be provided for comprehensive and/or hospitalized care. Treatment plans more than $500 will require your signature and a 1/3 deposit before care will be provided.

A cancellation fee (currently $35, but subject to change) will be invoiced to your account when you cancel an appointment on the same day, or you do not show up for an appointment. This cancellation fee must be paid prior to scheduling another appointment.

A deposit (currently $35, but subject to change) to schedule an appointment may be assessed if you have missed or canceled 3 or more appointments with no notice (same day) over the last 6 months. You will be notified of this requirement should you meet this threshold.

Should it become necessary to turn your account over to an outside collection service, you may be responsible for additional expenses, including but not limited to court costs and attorney fees.

By signing below, you acknowledge your responsibility to pay at the time of service, pay any required deposit or cancellation fees, and pay the costs of collection, as applicable.