Local Veterinary Hospital Requests

Please fill out this form and we will contact you if we need any additional information in order to process your request. We will do our best to respond to your request as soon as possible but for urgent needs, please call us at (940) 271-1200.

Underlined fields are required.

Clinic Information

Medical Record Information Requested

Medical Records

Labwork Results

Radiographs (be sure to provide e-mail address above – cannot be faxed)

Office Items Requested

DCAER Brochures

Magnets

Comments / Special Requests

Image Verification

Duplicate the code above