Veterinary Record Request

Request Veterinary Records

Why are you requesting access to these veterinary records?

I am the pet owner and I need a copy of my own pet's records

I am a shelter/veterinary clinic/government agency and I need these records to confirm or verify veterinary services

Other:

Please enter as much information as possible to help us find the correct records. You may request up to 10 records at a time.

Type of Pet

Cat

Dog

Pet's Name

Date of Surgery

YYYY

Person(s) names this pet may be associated with, or other information will help us locate the correct records:

Pet Owner's Email

Pet Owner's Phone Number

How do you want these records delivered?

Pick up

Fax

Mail

Pick up is available Monday-Friday from 9 AM to 5 PM. Our office may be closed during a holiday or inclement weather. Please allow 48 hours from your request before visiting our office to pick up your records.

Email to:

Fax to:

Attention to:

Mail to:

Individual or Business Name

Address

If the records you are requesting cannot be found, we will attempt to notify you by email and/or phone.