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Hours 626 St George Rd
South Thomaston, ME 04858

Consent to Treat Form

Pet's Name*

Surgical / Anesthetic Procedure you are Consenting to:*

Current Medications and Supplements:*

I understand that any estimate given is only an approximation and that the final bill may be more or less than this amount. I understand that accounts are due and payable upon completion of services, and I agree to pay in full when the services are rendered.

Agree

Harbor Road Veterinary Hospital