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I hereby authorize the examination, prescription for, and/or treatment of my pet(s). I assume responsibility for all charge incurred in the care of this/these pet(s). I agree to pay all fees for all services rendered at the time the pet(s) is/are released from our care. Past due invoices are subject to an annual percentage rate of 18%. I understand a $30.00 service fee will assessed for each non-sufficient fund check.