Medical Records Release Form – Peace Arch Veterinary Hospital

Medical Records release form

I hereby authorize the Peace Arch Veterinary Hospital to release my pet’s medical records to*
Email
E-mail where records need to be sent*
Name*
First Last
Pets Name/Speices*
Name Species
Phone number on file*
I hereby certify that I am the owner (Pet Parent) or authorized agent of the Pet Parent of the above described pet(s). Further, I hereby request and authorize this veterinarian to release the requested medical information for my pet(s). I release the veterinarian and staff from any legal responsibility or liability for the release of information to the extent indicated as authorized herein.*

Location

1959 152 St
Surrey, BC V4A 9E3, Canada
Phone: (604) 536-3131
Email: peacearchvet@gmail.com

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Our Hours

M/T/W/T: 8:00am – 9:00pm
Friday: 8:00am – 7:00pm
Sat & Sun: 8:00am – 5:00pm

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Vet appointments

Mon-Fri: 9:00am – 7:00pm / Sat-Sun: 9:00am – 2:00pm

Stat Holidays

9:00am – 4:00pm (hours subject to change)
All business days, Walk-ins are welcome (subject to availability)

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