Records Request

Please request records using the form below and an Essentials PetCare team member will send your requested records as soon as possible.

Don’t wait. If you’re an existing client, you can download proof of vaccination instantly here!

Please note that we can only release records to clients on file or to treating veterinarians of mutual patients, depending on state regulations.

Please direct my inquiry to:*
Your Name:*
First Last
Hospital Requesting Records (if applicable):

Hospital Phone (if applicable):
Client Name:*
First Last
Client Address:*
Address Line 1 Address Line 2 City State ZIP Code

Client Phone:*
Patient Name:*

Records Requested:*
Please select all that apply.
Proof of Vaccination
Lab Results
Detailed Medical Record with Findings and Recommendations
Email Address:*

Notes:
Certification of Patient Relationship*
I certify that I am either a veterinary professional requesting records for a mutual patient’s care, OR I am a client of Essentials PetCare, LLC and the owner on record for the pet listed above, and authorize the release of the requested records to the facility I have specified. I certify that this information was entered correctly to the best of my ability and that Essentials PetCare, LLC, is not responsible if records are sent to the wrong recipient if incorrect contact information was submitted above.
Yes, I agree

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