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Vaccine Clinic Registration Registro para Clínica de Vacunas

People Helping Pets

👤 Your Information / Su Información
🐾 Your Pets / Sus Mascotas
📋 Waiver / Exención de Responsabilidad

I, the undersigned, am using the medical services provided by People Helping Pets ("Clinic"). I understand that the Clinic is community-based and may include volunteer veterinarians, veterinary technicians, assistants, students, managers, and helpers.

I confirm that I am at least 18 years old and am legally authorized to make decisions for the animal(s) I am presenting today. I authorize the Clinic and its representatives to examine, vaccinate, microchip, and provide any other services I select or that are considered necessary.

I understand that these services do not replace full veterinary care and that the Clinic is not a full-service veterinary hospital. I am responsible for seeking and paying for any additional care recommended for my pet. I will inform Clinic staff, to the best of my knowledge, of any preexisting medical conditions, and I understand that some conditions may prevent my pet from receiving services.

I understand that vaccines and other services carry some risk. Mild side effects can include soreness, lethargy, or fever, while serious reactions are rare but possible and may require immediate veterinary attention.

I release and hold harmless People Helping Pets, including its directors, officers, volunteers, veterinarians, staff, and representatives, from liability for any injury, harm, or damage to me, my pet, or my personal property related to services provided at the Clinic.

I understand that photos or videos may be taken at Clinic events, and I give permission for People Helping Pets to use images of me, my pet, or others accompanying me for educational or promotional purposes. Anyone who does not wish to be photographed should let staff know at check-in.

Sign above with your finger or mouse. / Firme arriba con su dedo o ratón.

Your information is used only to coordinate your visit.
Su información se usa solo para coordinar su visita.