Registration Forms
Please complete our three forms herein: Registration, Microchip, Photo Release.
Number of pets
Pet Health History
Micro Chip Form
Permission to use Photograph
I grant to The Cat Hospital of Media, its representatives and employees the right to take photographs of me, my pet(s) and my property in connection with the above identified pet(s). I authorize The Cat Hospital of Media, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that The Cat Hospital of Media may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.
Authorization
I hereby authorize the veterinarian to examine, prescribe for, or treat the above described pet. I assume responsibilty for all charges incurred in the care of this cat. I also understand that these charges will be paid at the time of release and that a deposit may be required for hospitalization or surgical treatment.
