I AGREE TO PAY FOR PROFESSIONAL SERVICES, MEDICATIONS & INVENTORY AS THEY ARE RENDERED. I understand every effort will be made to achieve a successful outcome and to provide for all possible safety in hospital care and handling. I hereby authorize this hospital to receive, prescribe for, treat or perform surgery upon the pet(s) listed on this page(s), as deemed necessary when in the care of Belleview Animal Clinic. Furthermore, I agree to pay fees for services rendered at the time the pet is discharged from the hospital or the service is otherwise terminated. In the event your account is assigned to a collection agency, you agree to pay a collection fee in the amount equal to 35% of the balance due assigned to the collection agency. In case of default payment, I agree to pay any and all costs of collecting this account including, but not limited to, attorney fees and court costs.