April 5, 2023


This General Release of Liability (“Release”) is made on the _____ day of _______________, 20_____ between:

Releasor: _________________________________, at ________________________________________ [Address] (“Releasor”)


Releasee: MIZNER PARK VETERINARY CLINIC, INC at_________________________________ [Address] (“Releasee”). 

  1. Releasor and anyone claiming on Releasor’s behalf releases and forever discharges Releasee and its affiliates, successors, officers, employees, representatives, partners, agents, and anyone claiming through them (collectively, the “Released Parties”), in their individual or corporate capacities from all claims, liabilities, obligations, promises, agreements, disputes, demands, damages, causes of action of any nature and kind, known or unknown, which Releasor has or ever had or may in the future have against Releasee or any of the Released Parties arising out of or relating to (“Claims”):
  2. Examinations, diagnostic test and associated treatments excluding surgery carried out by a veterinary student intern who is approved by their educational institution and the AVMA (American Veterinary Medical Association) with a PLIT (professional liability insurance) of a maximum cover of $2,000,000, under the supervision of a licensed veterinarian; and
  3.  Tele-medicine consultation between the said licensed veterinarian and veterinary intern used for guidance and supervision on veterinary medical cases upon the client’s approval.
  4. The Releasor HAS NOT RECEIVED ANY PAYMENT in exchange for the Release of Claims. The Releasor releases the Releasee having received A FAIR NOTICE and an ADEQUATE OPPORTUNITY TO REVIEW this Release.
  5. This Release shall not be in any way construed as an admission by the Releasee that it has acted wrongfully concerning the Releasor or any other person, that it admits liability or responsibility at any time for any purpose, or that Releasor has any rights whatsoever against the Releasee.
  6. This Release shall be binding upon the parties and their respective heirs, administrators, personal representatives, executors, successors, and assigns. Releasor has the authority to release the Claims and has not assigned or transferred any Claims to any other party. The provisions of this Release are severable.  If any provision is held to be invalid or unenforceable, it shall not affect the validity or enforceability of any other provision. This Release constitutes the entire agreement between the parties and supersedes any and all prior oral or written agreements or understandings between the parties concerning the subject matter of this Release. This Release may not be altered, amended, or modified, except by a written document signed by both parties. The terms of this Release shall be governed by and construed in accordance with the laws of the State of California.
  7. Both parties represent they fully understand their right to review all aspects of this Release with attorneys of their choice, that they have had the opportunity to consult with attorneys of their choice, that they have carefully read and fully understand all the provisions of this Release and that they are FREELY, KNOWINGLY AND VOLUNTARILY entering into this Release.

Signature of Releasor_______________________________Date_______________________________


Printed Name of Releasor

Signature of Releasee _______________________________Date______________________________


Printed Name of Releasee

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