Submit An Image Of Your Pet Share your pet’s photo with us! We would love to add a cute photo of your pet to their medical record – and, with your permission, we may also share their photo on our social media. Please use this form to: Upload a favorite photo (or two!) of your pet Tell us your pet’s name Let us know if we have your permission to share their photo on social media Your pet’s photo will help our team quickly recognize them in our system and make their visits feel even more personal and welcoming. Thank you for helping us put a face to the name. Owner's NamePet's NamePhone* Photo Use Consent By uploading photos of my pet, I understand and agree that: Haw River Animal Hospital may store my pet’s photo in their medical record. My pet’s photo may be shared on social media or other marketing materials if I indicate “Yes” below. If I give permission for social media use, I grant Haw River Animal Hospital a non-exclusive, royalty-free right to use, edit, and share my pet’s image, first name, and general information (for example, “Bella the golden retriever”) on its website, social media accounts, and other promotional materials. I am the owner or authorized agent of the owner of the pet in these photos and have the authority to grant this permission. I understand that I may contact Haw River Animal Hospital at any time if I would like to withdraw permission for future use of my pet’s image on social media or in marketing materials. This will not affect photos already used prior to my request. Is it okay to share your pet’s photo on social media or in other marketing materials? Yes No Pictures of your pet (up to 3 images) Drop files here or Select files Max. file size: 50 MB, Max. files: 3. Owner's Signature*This form may be signed electronically using the format /Firstname Lastname/. An electronic signature will carry the same legal weight as a handwritten one.Date MM slash DD slash YYYY CAPTCHA