Pet Vaccination and Medical Records Request

Animal Services Department

Pet Vaccines / Medical Records Request Form

Please be aware that according to Florida Statute 474.2165 (4), medical records of privately owned pets cannot be provided or discussed with anyone other than the client (pet owner). If you are an individual requesting documents, our customer service team will require a photo identification to confirm pet ownership.

Select the following who is requesting records.

Pet Owner or Family Member
Insurance Company
Veterinarian Office

Customer Information

First Name

Last Name

Phone Number

Email Address

Company Information

Company Name

Company Email Address

Please complete the customer's information.

Customer Name

Customer Phone Number

Customer Email Address

Attach supporting pet documents.