Vaccine / Medical RecordsRelease Form

Please complete our Vaccine / Medical Records Release Form if you need Bocage Animal Hospital to request, receive, or share your pet’s vaccine or medical records.

This form helps our team coordinate care with other veterinary hospitals, boarding facilities, groomers, dog daycare facilities, or other approved providers when needed.

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Complete Your Records Release Form

Please provide your contact information, your pet’s information, the records being requested or released, and the clinic or facility involved. Accurate information helps us process your request more efficiently.

I, the undersigned do hereby grant my permission for the release of the vaccine history of those pets listed below to the following facilities:

Pet Name(s) For Release of Vaccine Records:

I understand that by declining the vaccine request, if I later request the release of my pet's complete medical records to another veterinary facility, I must complete a Veterinary Medical Records Release Form in person.

Clear Signature

Need Help With Records?

If you have questions about your pet’s vaccine history or medical records, please contact Bocage Animal Hospital. If your pet needs urgent care, call us directly at (225) 928-7550.

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