我们很高兴您选择我们为您的宠物提供健康、手术和美容服务。请在首次访问之前填写并提交以下新客户表格:
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.
我们感谢您的信任,并期待为您的宠物提供护理。如果您喜欢我们,请告诉您的朋友。如果不喜欢,请告诉我们。