"*" indicates required fields CommentsThis field is for validation purposes and should be left unchanged.Client's Name* First Last Client's PhoneClient's Email* Pet's Name*If you would like your pet’s records forwarded to another veterinary hospital or clinic, please provide the recipient’s email address.* Reason for requesting medical records*What Type of records are needed* Vaccine records Full medical Records Full medical records must be submitted by a doctor and can take up to 72 hours to receive.Consent By checking this box, you agree to receive text messages from Premier Veterinary Hospital regarding appointment scheduling, appointment reminders, and vaccine reminders. Message frequency varies and standard message and data rates may apply. Reply STOP to opt out or HELP for assistance. View our Privacy Policy and Terms and Conditions.
