JHS Veterinary Services Vet Record Request
Please allow up to 2 business days for record requests
Name of Person Requesting Records
First Name
Last Name
Pet Name(s)
Check all that apply
This pet was adopted from JHS
This pet was a patient at the public hospital AFTER adoption
This pet was a patient at a JHS mobile clinic
Please choose one
I am the owner of this pet
I am a veterinary clinic requesting records with permission from the owner
Name of Clinic
Clinic Phone Number
Please enter a valid phone number.
Client Name
First Name
Last Name
Client Phone Number
Please enter a valid phone number.
Client Email Address
example@example.com
This is the email address on file at the time of service
Yes
No
Email address on file at time of service
Email address to send records to
example@example.com
Submit
Should be Empty: