Spouse / Co-Guardian
Mailing Address (if different)
Are you in the military?
When your pet is due for vaccines/treatment, would you like:
How did you hear about our hospital?
Details about how you heard about us (from above)
Referred by (if applicable)
I give Dover Veterinary Hospital authorization to use photos of me and/or my pet for purposes including, but not limited to, social media and marketing.