By Providing Your Primary Care Doctor's Information, We Can Share Your Pet's Medical Information With Them.
By Submitting Your Insurance Information, You Are Authorizing Us To Send All Mrs, Invoices Or Any Requests To The Insurance Company.
In order to foster mutual trust, respect, and cooperation in meeting the health care needs of my pet(s), I agree to the following responsibilities while my pet is under the medical care and direction of doctors and staff at IVVH:
Social Media Consent - I permit Irvine Valley Veterinary Hospital Inc. to record, own, publish, and republish photos and videos of my pet and reproductions of my pet's likeness for educational, marketing, and publicity purposes through any media. Unless otherwise requested, no personal information such as clients name, address, phone number, or email will be used. I acknowledge that the pictures or recordings taken on this date then become the sole and exclusive property of Irvine Valley Veterinary Hospital Inc. I release Irvine Valley Veterinary Hospital Inc. from any and all claims that might arise from the use of these images and recordings.
I hereby authorize the veterinarian to examine, prescribe for or treat the above-described pet(s). I assume responsibility for all charges incurred in the care of this animal. I also understand that these charges must be paid in full, at the time of release of the pet.
