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MEET DR. KEITH
OUR OFFERINGS
APPOINTMENTS
FAQs
SHOP
MY PORTAL

REQUEST OR SEND PET RECORDS

This form is exclusively for veterinarians and clinics. If you need to upload records for your pet, please log into your portal instead.

"*" indicates required fields

LET'S CONFIRM YOUR NEEDS

Type of Request

I'm requesting records for a pet

I'm sending records for a pet

What do you prefer?

I'd like to upload the records here

I'd like to send the records to an email adress

Instructions for sending records via email:

Please be sure to include: Pet parent(s) name(s), phone number, and email. Send to: records@drkeithweingardt.com Please use subject: Records for (Pet First Name & Last Name) Thank you!

LET'S CONFIRM YOUR INFORMATION

Name*

First Name Last Name

Practice or Business Name*

Veterinarian Name*

Email*

Enter Email Confirm Email

Business Phone Number*

Which email address should we send the records to?*

Enter Email Confirm Email

PET INFORMATION

What's the pet's name?*

Please keep in mind to fill in a separate form for each pet.

PET PARENT INFORMATION

First Pet Parent*

First Name Last Name

Cell number*

Second Pet Parent

First Name Last Name

(optional)

Cell number

PLEASE CHOOSE YOUR NEEDS

What type of records are you requesting or submitting?*

Select al that apply

Health issues vet visits

Wellness check up visits

Labs/diagnostics

Vaccine records

Spay/nueter records

X-rays

Other

Upload the pet X-rays here

Use this for X-Ray uploads ONLY.

Drop files here or

Max. file size: 100 MB, Max. files: 10.

Upload the pet records here

All files need to be in PDF format. Photos can be jpg.

Drop files here or

Accepted file types: pdf, jpg, Max. file size: 256 MB, Max. files: 15.

Feel free to add additional information if needed

I agree to the following*

I agree to the vet records terms & conditions

By submitting this form, you confirm that you are an authorized veterinary professional or clinic representative. All information provided must be accurate and submitted with the pet owner's consent. Records submitted through this form will be reviewed by Dr. Keith’s staff and added to the appropriate patient file. Misuse of this form may result in delayed processing or denial of future submissions.

PLEASE NOTE

This form is intended for veterinarians and clinics only. All submissions are reviewed and managed by Dr. Keith’s staff.

ARE YOU A NEW CLIENT?

Follow the simple self-registration process to schedule your initial appointment, or visit the FAQ’s page.

ARE YOU AN EXISTING CLIENT?

If you’ve previously scheduled an appointment on this website, log in to your Portal for all your needs. If this is your first time here, follow the easy self-registration process for next steps.

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Portland, OR
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HOURS

By Appointment Only

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PHONE

(971) 266-3991

For emergencies, contact your local animal hospital.

For veterinarians requesting or submitting pet records, click here.

For PR and media inquiries, please contact Dr. Keith’s team here.

STAY IN THE LOOP ON ALL THINGS HOLISTIC WELLNESS FOR YOUR PET

Company

This field is for validation purposes and should be left unchanged.

Name(Required)

First

Email(Required)

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