CLIENT/ PET INFO FORM

In the event that you cannot be reached by phone in a timely manner, who would you like us to contact to authorize treatment and the associated costs for the care of your pet?

PET INFORMATION

PLEASE SEND OVER ALL PAST VET RECORDS INCLUDNG THE PETS MOST RECENT VACCINES.

PLEASE SEND TO THEADVETCATESCHEDULING@GMAIL.COM. THANK YOU!

MEDIA RELEASE AUTHORIZATION

I authorize The Advetcate, LLC to use, reproduce, and/or publish photographs and/or video that may pertain to my

pet — including my pet’s image, likeness and/or sound without compensation. I understand that this material may be

used in various publications, public affairs releases, recruitment materials, broadcast public service advertising

(PSAs) or for other related endeavors. This material may also appear on The Advetcate’s Internet Web Page or its

other social media sites. This authorization is continuous and may only be withdrawn by my specific rescission of this

authorization. Consequently, The Advetcate, LLC may publish materials, use my pets’ name, photograph, and/or

make reference to my pet(s) in any manner that The Advetcate, LLC deems appropriate in order to

promote/publicize/educate service opportunities. 

CLIENT AGREEMENT

I/we hereby authorize The Advetcate, LLC and all assistants of its choice to administer any medical and/or surgical procedures as is considered therapeutically and/or diagnostically necessary. I/we also hereby release The Advetcate, LLC and all its assistants, from any liability by any reason of any act herein above authorized. I understand every effort will be made to achieve a successful outcome and that The Advetcate, LLC and all of its assistants will perform all possible safety procedures while handling my pet(s).

PAYMENT TERMS: Our preferred methods of payment include: Debit and Credit cards (Visa, Mastercard, American Express, Discover). In signing this agreement, I assume full financial responsibility for all charges incurred for the

care of my pet(s). I understand that payment for the entire medical plan is required when services are rendered, and if I fail to pay the entire amount at the time services are rendered, that I agree to pay any and all reasonable costs of collection in the event that collection efforts become necessary. 

Signing below indicates that you are the owner or responsible party of the pet listed on this form, and that you have read, understood, and accept the client agreement and payment terms listed above.

"Healing is Healthy"

Don't forget to send the 'purrfect' picture of your furry friend for our records.

Send pictures to theadvetcatescheduling@gmail.com  with your pets name in the subject line

(Example: "Pluto's Photoshoot").