Javascript must be enabled for the correct page display

If interested in signing up for our Antech study, please visit our study here and give us a call at (201) 350-1802.

Pet Loss Bereavement Groups - Join us to connect with others about our beloved pets and learn ways to cope with loss. Adult, children, and remote sessions are now available.

Medical Record Release & Imaging Release Request Form

If you are requesting medical records or to be sent to you or another clinic, please fill out the following information.

Client Name:

Pet Name(s):

Client Email Address

Name of Clinic to send reports to:

Clinic Email Address:

Starting Date:

Records to be sent:

Medical Records

(including all blood work and other diagnostic results)

MRI

X-ray

When are the records needed by?

Records within the last 2-3 years will be sent within 24-48 hours

By clicking here and submitting this form, you are giving OAH permission to release your pets medical on your behalf.

Additional Information:

CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

Medical Record Release & Imaging Release Request Form

How Are We Doing?

Get In Touch

How Are We Doing?