Medical Records Request Form Medical Records Request Pet's Name * Species * Canine Feline Avian Exotic Pet Other Species First Name * Last Name * Primary Phone Number * What type of records are you looking for? * Complete medical records X-Ray, MRI or CT Health Certificate Rabies Certificate Where are the records going? * Self Another Veterinarian If the records are being forwarded to another veterinarian, please provide the practice name: If the records are being forwarded to another veterinarian, please provide the practice phone number: Please provide an email address where we can send your records: * Reason for request? * Moving Switching Primary Veterinarians Second opinion Leaving practice reCAPTCHA Submit
