New Client Registration Form

New Client Registration Form

    Your privacy is important to us. All information received in all forms and through other communications is subject to our Patient Privacy Policy.

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    MaleMale NeuterFemaleFemale Spay
    MaleMale NeuterFemaleFemale Spay

    Photo Release Form

    I grant to Kenton Animal Hospital, its representatives and employees the right to take photographs of me and/or my pet, and to copyright, use and publish the same in print and/or electronically.

    I agree that Kenton Animal Hospital may use such photographs of me and/or my pet with or without my name and for any lawful purpose, including, for example, such purposes as publicity, illustration, advertising, and web content.

    Photo Release Choice

    Agreement

    All payments are due at time of services rendered.

    We accept cash and all major credit cards. I have read and understand the above statements and agree to all terms therein.

    I have read and understand the above statements and agree to all terms therein.

    ** Please be patient after submitting the form. It can take a bit to process. Thanks! **