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Forms and Financing

Your time is very important to us here at East Pines Animal Clinic. By clicking the link below you can fill out your New Referral Client Form before visiting our clinic. This allows us to have your information in our computer system prior to your arrival, making your time with us more efficient. 

  • Clicking the link below will redirect you to a Google Form.
  • Once that form is completed, it will automatically send it to our clinic.
  • You do NOT have to download, save, or print the form to bring with you.

Online New Referral Client Form

At East Pines Animal Clinic we strive to provide quality medical and surgical care for your pet(s) by hiring well-trained competent team members, providing continuing education for advancements in the veterinary profession, and purchasing necessary equipment and medications. Providing this high standard of veterinary care requires a significant financial investment. Because financial considerations are an integral component of veterinary medicine we want you to feel comfortable discussing your financial responsibilities with us.

For your convenience we accept the following forms of payment:

  • Cash, Money Orders and Personal Checks (with proper identification)*
  • Visa, Mastercard, Discover
  • Third Party Credit Vendors

We currently work with two Third Party Credit Vendors. These vendors provide financing options to our clients that we are not capable of providing within the clinic. We hope that providing these options will help ease the financial burden during potentially difficult situations.

Third Party Vendor Financing Options


Care Credit

  • $200 minimum
  • Subject to credit approval
  • No down payment
  • If not paid in full in 6 months, 26.99% interest added on original balance
  • Medical credit card
  • Extended payment plans with 14.99% interest


Heritage Federal Credit Union

  • No minimum
  • Subject to credit approval
  • No down payment
  • Interest Rate based on credit
  • Consumer credit card or consumer loan
  • No prepayment penalty

Below we have provided a link to our full Financial Policy along with a link to apply for Care Credit, which is one of the third party credit vendors listed about. If you are interested in applying for Elucidate or have any questions regarding financial concerns please contact our office and our Receptionists or Practice Manager would be happy to assist you.

Click here to view our Financial Policy