Request Records - Tier 1 Veterinary Medical Center

Client Name*

This is the human that legally owns the animal.

Patient Name*

The patient is the animal that belongs to the human.

Client Phone Number*

Client email address*

All medical records are sent via email.

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Oftentimes, pets (and people!) can have the same name. We use this information to help match your medical records and ensure we have the right patient.

Date Last Seen*

Where should the records be sent?*

My Veterinarian listed below
To me, the Client, please

We are happy to process your request based on the information that you complete here.

Who is your Primary Veternarian?

Your primary veterinarian is the general practitioner who regularly sees your pet(s).

I didn't see my Primary Veternarian Listed, but they are...

Veterinarian's Email*

Name

This field is for validation purposes and should be left unchanged.

6623 East Blue Lupine Rd, Palmer, AK 99645

6623 East Blue Lupine Road, Palmer, AK 99645

Mon-Sun: 8 AM - 10 PM

Request Medical Records

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