Release of Information Form

CAH Release of Information for Social Media and Website Use

After an explanation of its intended use, I authorize the staff at Centre Animal Hospital to release photographs, videotape images, or other images to use with any of the following media entities:

Centre Animal Hospital website
Brochures and other print media
Facebook
Instagram
Other forms of social media
Print or online advertising

I understand that this information may be used on print media, on a brochure or on the website of this veterinary practice and/or social media for public education and interaction purposes and agree to its use in that manner.

I, the undersigned, am interested in educating and sharing with the public photos of all pets listed on this form. and authorize this veterinary practice or institution’s faculty, clinicians, employees, students, and/or agents to use such materials for this purpose. I agree not to file any claim for revenue or lawsuit for damages against this veterinary practice with respect to the release of this information.

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