Community Veterinary Clinic Medical Records Request

Community Veterinary Clinic Medical Records Request
Please Note: This form is only for requesting records of services received at the Pets In Need Community Veterinary Clinic. If your pet has visited the CVC, records will be emailed directly to you.

If you are seeking vaccine records from our Spay Neuter or Weekly low-cost vaccine clinic in Palo Alto, please email info@petsinneed.org

Requests for pets that have never been seen at the Community Veterinary Clinic will be disregarded.
Name*

First NameLast Name
Email*
example@example.com
Pet's Name*
Appointment Date:

MonthDayYear
Date
Should be Empty: