Follow the steps to complete the VA Haymarket Veterinary Services Agreement online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your horse owner information. Fill in your full name, address, city, state, and zip code. Provide your contact numbers and email address in the designated fields.
3. If applicable, include lessee information by providing the lessee's name, address, city, state, and zip code, along with their contact numbers and email.
4. List the horses in the designated section. Input their names, registered/show names, date of birth, breed, use, and color.
5. Specify the stable/boarding location and enter the details of your equine insurance company.
6. Designate an authorized agent if needed. Provide their name and contact number, and indicate whether you authorize them to make appointments and order medication.
7. Review and initial each statement in the services section to authorize routine and emergency care, and the use of medications as deemed necessary.
8. Select your payment preferences by choosing how you would like to handle billing and whether you wish to receive invoices via email.
9. Enter your credit card information in the appropriate fields, including card number, expiration date, and CVV. Sign to authorize billing of any balances and read the agreement terms thoroughly.
10. Finally, submit the form by saving your changes. You can download, print, or share the filled document as needed.

Complete your VA Haymarket Veterinary Services Agreement online today to ensure your horse receives the best care!