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In accordance with the Washington State veterinary law regarding the confidentiality of patient medical records and treatment, a written authorization or other form of waiver executed by the client is required in order for us to provide a copy of your pet's medical records.

Pet Information

Referral Information

Statement Of Ownership

By checking below you certify that you are the owner and/or agent of the above animal and have the authorization to make medical and legal decisions for this animal. You hereby authorize North Seattle Veterinary Clinic to release the above animal's medical records to the requested person or veterinary facility.