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By clicking this box, I do hereby grant permission to release any or all of the information contained in the medical records of my pets listed below to James Island Veterinary Hospital
I authorize JIVH to obtain my pets' medical records from their current care provider
Previous Veterinary Clinic
Pet Name
Date of Birth
Breed
Color
Dog
Cat
Female
Male
Neutered/Spayed
Intact
Pet Name
Date of Birth
Breed
Color
Dog
Cat
Female
Male
Neutered/Spayed
Intact
I authorize JIVH to photograph my pet and celebrate them via pictures on social media and/or www.jamesislandvet.com
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No, thank you
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