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Medical Record Upload
Medical Records Requirement

To ensure the best care for your pet, we require that all medical records be submitted before your scheduled appointment.

Please upload any prior veterinary records, vaccine history, or diagnostic imaging. PDFs and images are accepted.

If you have hard copies of your pets medical records, please arrive 15 minutes prior to your scheduled appointment to allow time for our team to scan, review, and input the information into our database.
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Don't have your pet's medical records?

Please provide your most recent Veterinary Clinic and Phone # below:
Hospital Name
Phone #
Please enter a valid phone number.Format: (000) 000-0000.

Authorizations & Signatures
SOCIAL MEDIA CONSENT: We love social media! Do we have permission to share your pet(s)' image and story on social media, our website, and other forms of related media? Your name and personal information will never be shared. Simply check below to authorize this.
TREATMENT AUTHORIZATION: I hereby authorize the veterinarian at Live with Grace Animal Hospital to examine, prescribe for and treat the above-described pet.
WRITTEN PRESCRIPTIONS: I understand that, pursuant to section 474.224, Florida Statutes, I have the right to receive a written prescription for any medication prescribed for my pet. I may have the prescription filled by the pharmacy of my choice or by my veterinarian, if available.
FINANCIAL POLICY ACKNOWLEDGEMENT: I assume responsibility for all charges incurred in the care of the above-described pet. I understand that payment is always due IN FULL at the time of service and that a deposit may be required for hospitalization and surgical procedures. I recognize that financial concerns should be discussed PRIOR to exam and treatment. I understand that Live with Grace Animal Hospital does not bill Acceptable methods of payment are cash, check, Visa, Mastercard, American Express, Discover, and CareCredit. I also understand that if my account is not paid in full, that I will be liable for a monthly finance charge of 1.5% and any fees that may be incurred for the services of an outside collection agency.
RECORDS RELEASE AUTHORIZATION: I authorize Live with Grace Animal Hospital to contact my previous veterinary provider/s to obtain my pet's medical history.
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Medical History

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Medical Record Upload

Don't have your pet's medical records?

Authorizations & Signatures