Pet Emergency Spokane - Client Records Request

1

Please be advised it can take 14-21 days to process this request
Records will only be released to the owner with a valid Government Issued ID

2

* This field is required.

Pets Name

Pets Birthday or Approximate Age

Pets Breed/Color

Owners Name

Address

Phone Number

Dates of Visit being Requested

Reason for Request

3

How would you like to receive your pet's records?* This field is required.

Standard Mail

Email

4

Please enter your email* This field is required.

example@example.com