Animal Care Center of Carters Creek
2690 Spring Meade Blvd
Columbia, TN 38401
Dr. Hemmert ~ Dr. Corley ~ Dr. Reynolds
Name, address, phone number of your veterinarian:
The following animal(s) have been presented to Animal Care Center of Carters Creek for examination/treatment/boarding. The owners have requested and/or authorized the release of medical records for the following pets. Please forward a copy of the medical record/vaccination history for each animal listed as soon as possible:
Please list all pets you authorize medical records to be released at this time:
Complete medical record?
Vaccination history only?
Please forward the requested medical records to firstname.lastname@example.org or fax to (931) 451-5018.
Thank you for your cooperation.