Client Information Form

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Client Information


Medical Information Release

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Social Media Permission

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Signature of Authorization

I hereby authorize the veterinarian to examine, prescribe for, or treat the pet(s) on my account, I assume responsibility for all charges. incurred for the care of my pet(s) authorized by myself and/or others listed on my account (spouse). I also understand that these charges will be paid at the time of service/release.

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