Note: All necessary forms and records are required prior to your visit

I hereby absolutely and irrevocably authorize Quioccasin Veterinary Hospital to use, publish, reuse, republish, distribute, disseminate, or otherwise make publicly available, photos or videos taken of my pet, their patient, boarder, and/or grooming attendee.

By signing and dating this document, I waive any and all rights to approve or otherwise review any uses of the aforementioned photographs or videos. I am a legally competent adult of full legal age and have the right to contract in my own name. I have read this document thoroughly and understand the entirety of its contents in full.

Reset signature Signature locked. Reset to sign again

MM slash DD slash YYYY