Besuchen Sie uns auf Facebook!
SOS mein Tier ist krank: 07031-385120

Registration of a Patient

Information of the owner

Information of the animal

Animal species
Sex

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 (german): Privacy Policy.

Bitte rechnen Sie 1 plus 2.

Copyright 2021. Pferdeklinik und Kleintierpraxis in Maichingen GmbH

Einstellungen gespeichert
Datenschutzeinstellungen

Cookie-Hinweis: Wir setzen auf unserer Website Cookies ein. Einige von ihnen sind erforderlich, während andere uns helfen unser Onlineangebot zu verbessern. Sie können alle Cookies über den Button “Alle akzeptieren” zustimmen, oder Ihre eigene Auswahl vornehmen.

Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Aenean commodo ligula eget dolor. Aenean massa.