I hereby authorize the veterinarian to examine, prescribe for, and/or treat the the above described pet. I assume responsibility for all charges incurred in the case of the animal. I also understand that all professional fees are due at the time of services rendered.

I grant to Westmonte Animal Clinic, its representatives and employees the right to take photographs of me and/or my pet(s), and to copyright, use, and publish the same in print and/or electronically. I agree that Westmonte Animal Clinic may use such photographs of me and/or my pet(s) with or without my name and for lawful purpose, including for example, such purposes as publicity, illustration, advertising, and Web content including but not limited to all social media websites.