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OWNER CONSENT Form

Owner

Animal

Vet practice details

Declaration

By submitting this form you are declaring that you confirm that you give your permission for Veterinary Physiotherapy treatment to be performed on your animal.
You give your permission for the Veterinary Physiotherapist to discuss treatment with your Veterinarian and understand that the Veterinary Physiotherapist may refer your animal back to the Veterinarian if needed.
You have read and agreed to the terms and conditions set out by Three Shires Veterinary Physiotherapy.

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