Client Consent Form for use of case details
Your veterinary clinician has identified your pet’s case as pertinent to important pet health
issues. As such, details of your pet’s case could play a vital role in raising public awareness
of pet health issues that continually put pets at risk, and make a significant contribution to
increasing responsible pet ownership. It’s with these causes in mind that Vets Now
respectfully ask your permission to use details of your pet’s case for educational purposes.
Thank you for your consideration and we’d be delighted if you would consent.
We would also like to assure you in advance that Vets Now will never publish any of your
personal details or pass them on to third parties without seeking additional consent from you.
Client
Title
First name
Surname
Postcode
Pet
Pet’s Name
Case Details & Permissions
Clinic/Hospital attended
I hereby give permission for Vets Now to use the details and/or images of my pet named
above in online and offline media for educational purposes, and to raise public awareness of
responsible pet ownership and important pet health issues.
Signature
Signed
Date
Name (please print)