Skip to Main Content
Ask About Financing

Medical Record Release Form

If your pet is a patient at Greenbrier-Springfield Animal Hospital, you can fill out our Medical Record Release Form to request your pet’s medical records using one of the options below.

Option 1

Complete Online

Complete and submit the online form below.

Option 2

Complete on Arrival

If you prefer, you can fill out the form when you get to our hospital.

Medical Record Release Form

I, the owner or authorized agent of the pet(s) listed above, request a copy or release of my pet’s medical records.

I understand that if I elected for this medical record to be permanently transferred, the medical record at Greenbrier-Springfield Animal Hospital will be marked as inactive. If I elected for this medical record to be a temporary transfer, the record will remain active at Greenbrier-Springfield Animal Hospital.

Please allow Greenbrier-Springfield Animal Hospital up to 5 business days to process, copy, and distribute the medical record.

New Patients Welcome

Greenbrier-Springfield Animal Hospital is accepting new patients! Our experienced vets are passionate about the health of Springfield companion animals. Get in touch today to book your pet's first appointment.

Contact Us

Contact (615) 643-7931