Thank you for giving us the opportunity to care for your pet(s)! Please complete the following to the best of your knowledge.
I, the undersigned, hereby authorize North Airline Animal Hospital (hereinafter referred to as "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 hereby grant the hospital all rights, title, and interest in any photographs, images, videos, or audio recordings of my pet or myself are 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.
I understand that the hospital offers various forms of digital communication to keep me informed about my pet’s health, remind me of upcoming appointments, and share promotions and health tips. By signing below, I authorize the hospital 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.
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. For payment convenience the hospital accepts Visa, Master Card, American Express, Discover, Cash, Scratch Pay & Care Credit.
