Veterinary Records Release Authorization

A Veterinary Records Release Authorization is a legal document that allows a pet owner to grant permission for the release of their animal’s medical records to a third party. Key components of this document typically include:

1. Pet owner’s information

2. Animal’s details (name, species, breed, age)

3. Veterinary clinic’s information

4. Recipient’s information (e.g., new veterinarian, pet insurance company)

5. Specific records to be released

6. Purpose of the release

7. Duration of the authorization

8. Owner’s signature and date

This document is crucial for:

– Transferring care to a new veterinarian

– Submitting claims to pet insurance companies

– Providing medical history for boarding facilities or groomers

– Legal proceedings involving the animal

When preparing a Veterinary Records Release Authorization, it’s important to be specific about which records are to be released and for what purpose. This ensures the pet owner maintains control over their animal’s private medical information while facilitating necessary information sharing.

This authorization protects the pet owner’s privacy rights and the veterinarian’s liability, while ensuring that important medical information can be shared when needed for the animal’s care or other legitimate purposes.