Online Form

Medical Records Release Form

Save time during your next appointment! Complete your required Medical records release form online from any device at any time before your visit.

Get Started

Medical Records Release Form

Please complete this form as completely and accurately as possible so we can get to know you and your pet(s) before your visit. If this is an emergency, or if your pet needs urgent care, please call one of our locations for a faster response.

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 or subpoena” is required in order for “Animal Clinics of the Woodlands” to produce copies of your pet’s medical records.

Owner's Name *

First

Last

Email *

Client ID *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Patient's Name *

Signature *

Date *

Online Form

Medical Records Release Form

Medical Records Release Form

Ready for a visit?

Have A Question?

Alden Bridge

Cochran’s Crossing

Indian Springs

We proudly serve the pets of The Woodlands and Spring and the following areas:

Conroe

Houston

Magnolia

Tomball