Pet Owner Information:
I hereby certify that I am the owner or authorized agent of the above pet. I hereby authorize the veterinarian to examine, prescribe for, and/or treat the above described pet. I assume responsibility for all charges incurred in the care of this animal. I also understand that all professional fees are due at the time services are rendered and a deposit may be required for surgical procedures.
Social Media Consent
I hereby give South Windsor Veterinary Clinic permission to use photographs taken of me and my pets for
the purpose of posting on South Windsor Veterinary Clinic’s Facebook, YouTube, Twitter, Instagram and
the clinic website.
I hereby release and discharge South Windsor Veterinary Clinic from any and all claims arising out of usevof the photos and/or videos.
Health Records Policy
To ensure the confidentiality of patient medical records, a written authorization is required in order for
South Windsor Veterinary Clinic to produce copies of your pet’s medical records:
Please be aware we do not accept personal checks. Payment is due at the time of services.
**Did you know that if your email is registered with us in your patient file you can access your pets’ records from our website. This user friendly site will provide you with your vaccination history, names of dietary items you have purchased with us, medications dispensed, when your pet is due next and a chronological history of services.