Thank you for choosing Hagyard Equine Medical Institute for your horse's emergency care. All patients admitted on an emergency basis are required to submit a deposit upon admission and prior to overnight hospitalization.

Your completion of this authorization form helps us to protect you, our valued customer, from credit card fraud. All information entered on this form will be completely secured in our credit card vault. This form authorizes Hagyard to securely store your credit card information in encrypted form and charge the designated card on file for future invoices.