I authorize the staff at Friendship Hospital for Animals to release portions of my pet’s medical history and record, including personal recollections, radiographs, photographs, videotape images, or other images to the following media entity(ies):
Friendship Hospital for Animals blog, Friendship Hospital for Animals’ Facebook and/or Instagram account(s). I understand that this information may be used on a television or radio program, in the print media, or on the website of this veterinary practice for public education and/or entertainment purposes and agree to its use in that manner. I, the undersigned, authorize this veterinary practice or institution’s faculty, clinicians, employees, students, and/or agents to use such materials for this purpose. I agree not to file any claim or lawsuit against the above parties with respect to the release of this information including, without limitation, any claims based on negligence of the parties who released the information.