* Please note: Filling out this form does NOT mean you are scheduling an appointment. YOUR PET'S NAME* YOUR PET’S SURGERY IS SCHEDULED ON* MM slash DD slash YYYY SPECIALIST SURGICAL DEPOSIT AGREEMENT*Thank you for scheduling your pet’s surgery with our specialist. In order to reserve the surgery date and to maintain an efficient surgery schedule, a nonrefundable deposit of $500 is required. If you need to cancel, please email us at turquoiseanimalhospital@gmail.com more than 48 hours before the surgery date. Signing below indicates that you understand that the deposit is nonrefundable, no matter when you cancel the surgery. I understand and agree.OWNER'S SIGNATURE*DATE* MM slash DD slash YYYY
