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Photo & Social Media Release

Permission to use photos and videos of my pet

Owner

Client / owner namePhoneAlternate phoneAddressEmail

Pet(s)

Pet name	Species	Breed	Patient ID

What may be used

PhotosVideosMy review or quote

Where it may appear

The practice websiteThe practice’s social media accountsPrinted material (brochures, posters, newsletters)Paid advertisingVeterinary education and case presentationsOnly inside the clinic (for example a waiting room board)

Names & tags

You may use my pet’s nameYou may use my first nameYou may tag my social media account: @Please do not use any names

Permission

I give this practice permission to use photos, videos, and quotes of my pet as selected above, without payment. I may withdraw this permission in writing at any time. The practice will then stop new use and remove posts it controls, but I understand that copies already shared by others may remain online.

Owner signature

Printed nameDate