Medical Information Release Form

In accordance with the Saskatchewan Veterinary Medical Association bylaws regarding the confidentiality of patient medical records and treatment, a written & signed authorization waiver must be executed by the client, as required, in order for us to provide a copy of your pet's medical records.

I certify that I am the owner/agent of all the pet(s) listed in my file and have the authorization to make medical and legal decisions for this/these animals. I hereby authorize the Albert North Veterinary Clinic to release the animal(s)' medical records to the requested person, business (groomer/boarding kennel) or veterinary facility.