Admission of new clients

Please fill out the forms relevant to you prior to your appointment. This will allow us to  prepare for you in the best possible way and ensure that your pet is treated as quickly as possible. 

Information of the owner

Information of the animal

Animal species

Contract governing medical treatment

I assure that I am the holder of the animal and authorised to conclude a contract for the execution of necessary treatments and operations, in addition I assure that I am willing and able to pay the resulting costs. In this context, I declare that at the time of this declaration I have not been subject to any judicial debt procedure and that the debtor register of the district court in which I have jurisdiction does not contain any entries concerning my person.

Unless I am the holder of the animal, I assure you to act by order of the owner of the animal. If there is no authorization, or if the pet owner refuse an authorization, I certified herewith that I will pay for the incurred expenses from the treatment.

As far as it is necessary to diagnose, I authorize the owner and the staff of the practice, third-party services (laboratories, special investigators, etc.) in my name and on my account to claim.

I pay the resulting costs instantly in cash or by EC- Card.

I am aware that the practice has a right of retention on the treated animal if I am not willing or able to pay the costs of treating the animal in cash or by debit card.

Here you can find our privacy policy: Privacy Policy.

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Copyright 2024. Pferdeklinik und Kleintierpraxis in Maichingen GmbH

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