Photo Consent Form

Download Form

Gulf Coast Animal Eye Clinic strives to educate clients, veterinary professionals, and students on ocular diseases. Photographs and videos of ocular disease have proven to be most helpful in documenting progress and outcomes. Pictures and/or videos of your pet’s eye(s) would aid in educating as well as documenting the progress of your pet’s ocular issues. Your name and your pet’s name will not be used in order to keep information private.


In signing this consent, I hereby grant Gulf Coast Animal Eye Clinic permission to use any photographs and/or videos taken of my pet, in any and all of its publications, including the website entries, without payment or any other consideration. I understand and agree that these materials will become the property of Gulf Coast Animal Eye Clinic and will not be returned. 


I hereby authorize Gulf Coast Animal Eye Clinic to edit, alter, copy, exhibit, publish, or distribute this photo and/or video for purposes of publicizing their programs or for any other lawful purpose. In addition, I waive any right to royalties or other compensation arising or related to the use of the photograph. I hereby release Gulf Coast Animal Eye Clinic from all claims, demand, and causes to action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf of my estate have or may have reason of this authorization.