New Client Form

PRIMARY CONTACT

PET INFORMATION

AUTHORIZATION

By submitting this form, I hereby grant Meadowlands Veterinary Hospital the right and permission to take photographs/videos of myself and/or my pet, and to publish the material for any lawful purpose, including, but not limited to, their website, social media accounts, and promotional materials, either digital or in print, in perpetuity. I waive any rights of privacy or compensation associated with the use of my or my pet's images(s) and name(s) for the personal or commercial purposes outlined above.

I also hereby authorize the veterinarian to examine, prescribe for or treat the above described pet.

I ALSO UNDERSTAND THAT ALL HOSPITALIZED PATIENTS MUST BE UP-TO-DATE ON RABIES, IN THE EVENT THE PATIENT DOES NOT HAVE THESE VACCINES THEY WILL BE ADMINISTERED UNLESS MEDICALLY PROHIBITED.

I also assume responsibility for all charges incurred in the care of the animal. I also understand that ALL PROFESSIONAL FEES ARE DUE AT THE TIME SERVICES ARE RENDERED.