This is an agreement between Tualatin Animal Clinic, as creditor, and Debtor named on this form.
In this agreement the words “you,” “your,” and “yours” means the Debtor. The word “account” means the account that has been established in your name to which charges are made and payments credited.
The words “we,” “us,” and “our” refer to Tualatin Animal Clinic.
By executing this agreement, you are agreeing to pay for all services that are received.
Payment options: You choose to pay by cash, check, care credit, or credit card on the day that treatment is rendered
We Do NOT offer billing at this clinic. Payment is required at time of service.
Payments: Unless other arrangements are approved by management in writing, the balance on your statement is due and payable when the statement is issued, and is past due if not paid by the end of the month.
Returned checks: There is a fee (currently $25) for any checks returned by the bank.
Monthly Statement: If you have a balance on your account, we will send you a monthly statement. It will show separately the previous balance, any new charges to the account, the finance charge, if any, and any payments or credits applied to your account during the month.
Charges to account: We shall have the right to cancel your privilege to make charges against your account at any time.Future visits would then need to be paid at the time of service.
Finance charge: A finance charge will be imposed on each item of your account which has not been paid within thirty (30) days of the time the item was added to the account. The FINANCE CHARGE will be computed at the rate of one and one half percent (1.5%) per month or an ANNUAL PERCENTAGE RATE of eighteen (18%) percent. The finance Chare on your account is computed by applying the periodic rate (1.5%) to the overdue balance of your account. The overdue balance of your account is calculated by taking the balance owed thirty (30) days ago, and then subtracting any payments or credits applied to the account during that time. The minimum Finance Charge is $.50.
Past due accounts: If your account becomes past due, we will take necessary steps to collect this debt. If we have to refer your account to a collections agency, you agree to pay all of the collections costs which are incurred. If we have to refer collection of the balance to a lawyer, you agree to pay all lawyer’s fees which we incur, plus all court costs. In case of suit, you agree the venue shall be in Washington County, Oregon.
Divorce: In case of divorce or separation, the party responsible for the account prior to the divorce or separation remains responsible for the account. After a divorce or separation, the person authorizing treatment for the animal will be the person responsible for those subsequent charges. If the divorce decree requires the other party to pay all or part of the treatment costs, it is the authorizing party’s responsibility to collect from the other party.
Effective Date: Once you have signed this agreement, you agree to all of the terms and conditions contained herein and the agreement will be in full force and effect.
