Medical Records Request Form 
Please complete the form to request your animal's documentation. Allow 3-5 business days to process your request. Records will be emailed to the e-mail address on the medical file. 

*PLEASE NOTE Vaccinations given at our clinics are expired after 1 year.*
Sign in to Google to save your progress. Learn more
Name *
Email *
Phone Number *
Pet's Name (when adopted) 
Type of Pet *
Gender of Pet *
Approximate Date of Visit *
MM
/
DD
/
YYYY
Additional Comments
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Texas Humane Heroes.