West Seattle Animal Hospital

4700 42nd Avenue SW, Ste 210
Seattle, WA 98116

(206)932-3308

westseattleanimal.com

Request Vaccine Certificate Form

Vaccination Summary
Your pet’s vaccination certificate can be emailed to you or anywhere else you request within 24 hours of your request. This summary is usually requested by boarding and grooming facilities and can include the results of your pets latest fecal test if needed.
Records Request
To obtain your pets complete medical history, please call our office at (206) 932 - 3308. The complete record is usually needed when transferring your veterinary care to another hospital, being seen by a specialist, or when moving. Once you call in your request, we have a doctor look over your pets record to make sure that everything is complete, and then it can be faxed or emailed to you or anywhere else you request.
What is your first and last name? (required)

What patient or patients is this for? (required)

Would you like the certificate emailed to yourself? (required)
yes
no


What is your email address?

Would you like the certificate emailed to a boarding, daycare, or grooming facility? (required)
yes
no


What is the name of the facility?

What is the facility's email address?

What is the facility's fax number?

Would you like the certificate emailed to another person? (required)
yes
no


What is their name?

What is their email address?

Any additional instructions?

I am the person described above. I certify that I am the legal owner of this pet. (required)
I agree
I disagree



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