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Please Note: We will be closed on Wednesday, December 25th in observance of Christmas!
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Online Forms

Medical Record Release Form

Save time during your next appointment! Complete your required forms online from any device at any time before your visit.

Medical Record Release Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pet(s) before your visit. If this is an emergency, or if your pet needs urgent care, please call us at 270-753-6749 for a faster response.

Please release my pet’s medical records to: WESTSIDE VETERINARY SERVICE 1271 ROBERTSON ROAD SOUTH MURRAY, KY 42071 FAX: 270-753-9482

From:

Clear Signature
I HEREBY AUTHORIZE THE RELEASE OF MY PET’S MEDICAL RECORDS AS PROVIDED ABOVE.