Release Records 2017-08-12T09:44:51+00:00

MEDICAL RECORDS RELEASE FORM

In accordance with the Veterinary Practice Act regarding the confidentiality of patient medical records, “a written authorization or other form of waiver executed by the client or an appropriate court order of subpoena.” is required in order for us to provide a copy of your pet’s medical records.

I certify that I am the owner of the patient(s) named below or that I am acting as a legal agent for the owner.