PetMedic is a Las Vegas Veterinarian Group offering the full range of vet services.

New Client Form


 

 

 

 

 

 

   

Please read and sign below:

I understand that all free incurred are due at the time services are rendered. PetMedic Animal Hospital does NOT offer payment arrangements. A deposit may be required of me before services are rendered. By signing below, I consent to the following: to staff taking pictures of my pet for educational and/or marketing purposes and to the use of those pictures on their website and social media, to my pet to be scanned for a microchip, and to my photo ID being kept on file in my client records.

I understand that by signing this form, I am accepting FULL medical and financial responsibility for any and all pets listed under my account.

 

Leave this empty:

Signature arrow

Signed by Pet Medic
Signed On: January 6, 2021

Signature Certificate
Document name: New Client Form
lock iconUnique Document ID: 84cb87d0d26b5db57332c509439d2f86ae776c32
Timestamp Audit
December 28, 2020 6:17 pm PSTNew Client Form Uploaded by Steve LeSueur - steve@mymarketingdesigns.com IP 24.156.111.122