By checking this box I verify that I am the owner (or agent acting on behalf of the owner) of the animal identified above. I am 18 years of age or older and I have the authority to sign any authorizations for this pet. I authorize Animal Clinic of East Durham to do whatever is necessary should an emergency arise. Should my pet become ill or injure itself, and Animal Clinic of East Durham is unable to contact me or my emergency contact at the phone numbers provided, my pet will be treated as deemed necessary by the attending DVM at my own expense. I have read an authorize Animal Clinic of East Durham to act accordingly. Please note ACED has a Personal Information Policy in accordance with the requirements of the Personal Information Protection and Electronic Documents Act. By checking the box below you are consenting to the collection, use and disclosure of your personal information (such as your phone number and address) in accordance with the purpose set out in the policy. For more information on this policy please see a staff member.