IMPORTANT: Please fill out a new form for each individual pet
Download and fill out our PDF form or proceed to the next section:
Instructions: What follows are guidelines for creating a summary of your pet’s medical history. While I will also want to review relevant medical records from veterinary providers, I am as much interested in YOUR viewpoint.
Please have your veterinary providers fax (773-305-8296) or email (firstname.lastname@example.org) any relevant medical records from at least the last 12 months. I may request additional medical records during our visit.