Please only use this form if directed to by a member of Aliante Animal Hospital’s staff as this form is used to authorize us to examine/treat your pet.

All fees are due at the time the patient is released. If using a credit card, we accept Visa, Mastercard, and Discover. Payments by personal check require your photo ID or a valid Nevada driver’s license. No out-of-state or starter checks are accepted.

* Indicates a required field.

    Alternate Contact Information

    In addition to phone calls and postal mail, we also like to communicate with our clients via e-mail. Please provide us with your e-mail address so we may send you important health information regarding your pet. Be confident that we will keep your e-mail address private, just as we do the rest of your account information.

    Pet Information

    Do you have pet insurance?*
    YesNo

    2nd Pet Information

    Authorization
    I hereby authorize the veterinarians at Aliante Animal Hospital to examine, prescribe for and treat the above-described pet(s). Any animal admitted or hospitalized shall receive the necessary diagnostic tests and treatment to ensure proper medical care. I agree to pay for all services rendered and medications, goods, and supplies when purchased. I understand that a deposit may be required for surgical or medical treatment. ALL FEES ARE DUE AT THE TIME SERVICES ARE RENDERED.

    Financial Policy
    By signing below I assume full financial responsibility for any treatment my pet receives. I understand that full payment is due at the time services are rendered. I also understand that a deposit may be required for extensive services.

    Aliante Animal Hospital

    3310 West Elkhorn Rd
    North Las Vegas, NV 89084
    (702) 778-4443

    About Us

    We are a full-service veterinary hospital with services including boarding, grooming, vaccines, surgeries, and more!

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    Operating Hours

    Monday – Friday: 7AM – 7PM
    Saturday: 8AM – 5PM
    Sunday: 8AM – 2PM

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