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New Client Form

Please read and sign below:

I understand that all free incurred are due at the time services are rendered. PetMedic Animal Hospital does NOT offer payment arrangements. A deposit may be required of me before services are rendered. By signing below, I consent to the following: to staff taking pictures of my pet for educational and/or marketing purposes and to the use of those pictures on their website and social media, to my pet to be scanned for a microchip, and to my photo ID being kept on file in my client records.

I understand that by signing this form, I am accepting FULL medical and financial responsibility for any and all pets listed under my account.

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Signed by Pet Medic
Signed On: January 6, 2021

Timestamp

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December 28, 2020 6:17 pm PDT

New Client Form Uploaded by Steve LeSueur - steve@mymarketingdesigns.com IP 24.156.111.122