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Client Forms

New Client Form

We are happy that you have chosen us for your pet's health, surgery, and salon services.  Please complete and submit our new client form below before your first visit:

Why did you choose East Lake Veterinary Hospital? (choose as many as apply):
About your pet:

You signature below and submission of this form indicates that you have read, understand, and agree with the following policies and procedures: 

- I authorize East Lake Veterinary Hospital to obtain / release all medical records pertaining to my pet(s) to other facilities as requested by pet's parent (guardian).

- I authorize communication with myself and/or other listed pet guardians via phone, email, text, fax, or other means necessary through the information verified above. 

- I authorize treatment of my pet in an emergency.

- I assume responsibility for injuries or damages caused by my pet.

- East Lake and affiliates to utilize the internet and social media platforms for the free exchange of information, education, marketing, and/or customer service and authorize the use of images of my pet(s) or myself and/or survey responses and/or statements for this purpose. 

- I hearby authorize the veterinary to examine, prescribe for or treat my pet(s). I assume responsibility for all charges incurred in the care of my pet(s), and understand that payment is due in full at the time services are rendered. A deposit may be required in advance of treatment. 

We appreciate your trust, and look forward to providing care for your pet(s). If you like us, please tell your friends. If not, please tell us. 

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