PAYMENT IS DUE UPON COMPLETION OF SERVICES

• We will provide you with a written estimate of fees for hospital treatment, emergency care, surgery, or any other service upon request.

• I authorize the veterinarian’s to examine prescribe for, or treat the pets) listed above. I assume responsibility for all charges incurred in the care of this animal(s). I. understands that every reasonable effort will be made to provide for successful treatment. However; due to the nature of some conditions, no guarantee can be made of successful treatment I understand charges are to be paid at the time of services and a deposit may be required prior to treatment. I also agree to: pay a non-sufficient funds (NSF) .fee for any returned check.

PHOTOGRAPHY RELEASE

• I hereby authorize animal Health Clinic, to print, display, publish or otherwise use photographs taken off by pet(s), during their clinic/grooming appoint rent, or time of Boarding and for Daycare. My .pet's photos/videos and narne(s) may be used for Animal Health Clint !sprint, online and video-based materials, as well as other Company publications.

• I hereby release and hold harmless Animal Health Clinic, from any reasonable expectation of privacy or confidentially associated with the images specified above.

• I further acknowledge that my participation is voluntary, and that I will .not receive finical cornpensation of any type, associated with taking or use/publication of these photographs. I acknowledge and agree that publication of my .pet's photos confers no rights. of ownership or royalties whatsoever.

• I release Animal Health Clinic, its employees, and any third parties involved in the creation or publication of at marketing materials, from liability for any claims by me or any third party in connection with my participation.