4106 North Lamar Blvd. | Austin, TX 78756 | Office (512) 459-4336 | Fax (512) 323-2219
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By typing my name below and submitting this form, I hereby authorize the veterinarians and staff at Austin Vet Care at Central Park to examine, prescribe for and/or treat my pet(s). I also certify that I am 18 years of age or older and understand I am financially responsible for the treatment received at Austin Vet Care at Central Park. I understand that full payment is due at the time services are rendered and that a deposit is required for any hospitalized and/or admitted pet.