Medical Records GET STARTED Release Form I, the undersigned, do hereby grant my permission for the release of any or all of the information in the medical records of those pets listed below to the following person or veterinary practice. Please enable JavaScript in your browser to complete this form.Name *FirstLastClient's Email *Pet name(s) for release of medical records1. Pet's Name *2. Pet's Name3. Pet's Name 4. Pet's NameRelease records to:Date *Fax NumberEmailReason for request of recordsSignature *Clear SignatureThis authorization will remain in effect until you notify us in writing of any desired changes. Submit