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New Patient Information

Client / Owner Information
(for use with controlled drug prescriptions)
Spouse / Co-Owner Information
About Your First Pet
May we use images of your pet, with or without their name, on social media and other digital marketing platforms?
Maximum 2 files.
100 MB limit.
Allowed types: gif, jpg, png, svg.
May we use images of your pet, with or without their name, on social media and other digital marketing platforms?
Maximum 2 files.
100 MB limit.
Allowed types: gif, jpg, png, svg.

I hereby authorize the veterinarian to examine, prescribe for or treat the above-described pet(s). I assume responsibility for all charges incurred in the care of this animal. I also understand that these charges must be paid in full, at the time of release of the pet.

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