* CONTRACTS *
and Forms for
ALL BREED
RESCUE PROGRAMS

RELEASE OF MEDICAL RECORDS

This form is used to obtain the history for a surrendered dog, when such records exist. Many owners never follow up on shots and immunizations, so you may find you will only use this form on rare occasions.

HOW TO USE THE FORM

It is a very simple document, but when presented to a veterinarian, it means the former owner is telling the vet to release everything to you. And you will need the medical records to avoid repeating treatment unnecessarily.

Chances are the owners won't remember the veterinarian's name, or they will make up something only for you to discover later that they never had an account with the vet they listed. In that case, shots will need repeated, and a heartworm test performed.


  1. Remind the former owners that if they really care about the dog, they will complete the form and help you have one less thing to deal with.
  2. If they won't sign the release, remind them that you have to charge a surrender fee to cover the cost of shots. Also remind them the local shelter will charge a drop off fee too (if applicable).
  3. Verify the information with the vet as soon as possible.


People are funny. They want to get rid of the dog, and they will cal and ask for your help. But far too often, when it comes to signing release documents, they will back away. This is one form you need to get!

Release of Vet Records (click to download your copy)

Click here to return to Caralysa's Corner
Click here to return to "Contracts and Forms"