New Client Form

Payment is due at the time services are rendered. For your convenience we accept cash, checks, Visa, Mastercard, and American Express. Returned checks will be subject to a $25 fee and an alternate payment method must be arranged.

For your convenience, we offer to automatically charge your credit card at the time of service and send a statement for your records. If we have not received payment in full at the time of service, each monthly statement that we send to you will be subject to a $15 billing fee. Late charges shall be applied to all accounts overdue at a rate of 1.5% monthly, or 18% per annum.

You represent that you are presently able to comply with the payment terms set forth herein, and that if you should be unable to make timely payment of outstanding invoices, you will contact Cypress Equine Services, Inc.

I hereby authorize Cypress Equine Services, Inc. to provide routine and emergency care to my horse(s) in my absence or at the request of my barn manager.

I hereby authorize and direct the veterinarians of Cypress Equine Services, Inc. to perform the procedures and additional diagnostic and/or treatment procedures as deemed advisable for my horse(s). I understand no agreement has been made as to the results or cure. I understand that there may be risks involved in some of these procedures.

This contract shall apply to any and all veterinary services provided by Cypress Equine Services, Inc. to any and all horses on your behalf, whether or not the horse(s) are listed on this form.