TEST2 Gateway Animal Care Group, P.C 410 Dover Rd.,| Clarksville, TN 37042| (931) 645-7757 | (931) 645-8121 Thank you for choosing Gateway Animal Care Group,PC. Our primary mission is to deliver the best and most comprehensive veterinary care available for your pets. An important part of mission is making the payment for optical care as easy and manageable for our clients. We do require payment in full for services rendered,however we offer several payment options.Payment optionsYou can choose from:Cash,Check,Visa,MasterCard,American Express,Discover CardConvenient Monthly Payment Plans from CareCredit 1.Allow you to begin treatment today,pay the veterinarian/surgeon in full and pay Care Credit over time interest free 2.Available for any treatment amount with approved credit. 3.Can we use repeatedly-for your entire family-without repply1.Deposit & BillingFor some treatments or hospitalized care,a deposit may required.For healthcare plans requiring comprehensive care of more than $300,we will require a 1/2 down deposit to begin your pet's treatment. We charge .015% monthly interest on any hold checks older than 30 days. Gateway Animal Care Group,PC may relinquish your balance owed after 90days to a collection agency. If you have a returned check,it goes directly to Checkmarc USA/PayTekSolutions,which then electronically retrieves the funds plus the state allowed collection fees($39.00) from your bank account. Additional Policy InformationFor clients with pet insurance,we do require payment when services are rendered. However we are happy to provide you with the necessary documentation to submit a claim to your insurance carrier for your reimbursement. If you have any question, please don not hesitate to ask. We are here to provide the very best veterinary care available to your pet's. By signing below,you agree to the foregoing terms of payment:Client/Owner SignatureDate Date Format: MM slash DD slash YYYY Client/Owner Name(Please print)Pet NameSpeciesBreed This iframe contains the logic required to handle Ajax powered Gravity Forms.