Please scroll to the bottom of the page and sign the required document

I, the undersigned owner or authorized agent responsible for seeking veterinary care for the pet presenting to North Springs Veterinary Referral Center, certify that I am over eighteen years of age. I have read and agreed to this authorization, have agreed to the financial obligations, and fully understand the terms and conditions.

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

Change fonts

• Draw Signature
  
• Type In Signature
  

Draw your signature with your mouse, tablet or smartphone Clear

I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

Insert Signature

I agree that I am and I understand this is a legal representation of my signature

Adopt & Sign

Signature Certificate

Document name: Specialty Client Intake Signature

Unique Document ID: a30bcfda71f0528802b827cb8943f1e09df022af

Build. Track. Sign Contracts.

Timestamp	Audit
October 7, 2025 1:44 pm MST	Specialty Client Intake Signature Uploaded by Administrative Signer - info@northspringsvrc.com IP 46.110.111.91

This audit trail report provides a detailed record of the online activity and events recorded for this document.

https://northspringsvrc.com/

Audit Trail Serial# d07342149284756e9b07f4d7b9e5b9e6