Thank you for giving us the opportunity to care for your pet(s)! Please complete the following to the best of your knowledge.
I authorize the hospital to release my pet’s medical information to other veterinary hospitals, groomers, and kennels, including my phone number, if my lost pet is recovered. I acknowledge that conversations during my pet’s visit may be recorded for quality assurance and service improvement purposes. I hereby grant the hospital all rights, title, and interest in any photographs, images, videos, or audio recordings of my pet or myself taken during my pet’s visit. This includes the use of such materials for promotional purposes, on the hospital’s website, and other marketing materials. If the veterinary team determines that immediate treatment is necessary for the health and well-being of my pet, and I or my co-owner are unable to be reached, I consent to the administration of all reasonable treatments recommended. I assume responsibility for all charges incurred for my pet(s) and understand that payment is due at the time services are rendered.
I understand that the veterinary clinic offers various forms of digital communication to keep me informed about my pet’s health, remind me of upcoming appointments, customer care and health tips. By signing below, I authorize the veterinary clinic to contact me via email, phone, and/or text message (SMS). I understand that I can opt out of these communications at any time by following the unsubscribe instructions in any communication received. Message frequency varies; most commonly monthly updates are expected unless medical needs require more frequent notifications. Message data rate may apply. Reply HELP for assistance or STOP to discontinue SMS.
I confirm that I am 18 years of age or older and legally authorized to consent to veterinary treatment and assume financial responsibility the services rendered.