Closed in Observance of Memorial Day” Monday May 27th.

Medical Record Release Form

I - 1. Authorize or 2. Do not Authorize - Country Friends Veterinary Clinic to release any and all medical information to an facilities, to include, but not limited to: boarding, grooming, other veterinary clinics and/or rescue groups, requesting said information on all pets both current and future. Please be aware that we must abide by properly requested release of pet records from law enforcement agencies.(Required)
Client Name(Required)
MM slash DD slash YYYY
I authorize the release of all records of all pets to Country Friends Veterinary Clinic.(Required)
This field is for validation purposes and should be left unchanged.