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42-34 Crescent Street,
Long Island City, NY 11101

718-577-4701

FREE PARKING - Call for Details

Pet Emergency at Court Square Animal Hospital

Our clients never pay any additional emergency fees!

Veterinarians in Long Island City
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Record Release Form

Please fill out our Record Release Form to request your pet's records.

Entering your name below will be your digital signature.

[*]Required Fields

Enter Your Full Name [*]:

Enter Your Address (house #, street name) [*]:

Enter Your Address (city, state, ZIP) [*]:

Enter Your Pet Name [*]:

Enter Your Pet Age and Weight [*]:


Please fax records to:

FAX#:

Email Address [*]:

How would you like to receive your pet's records?[*]:

Reason for request [*]:

If "Unhappy with Care" was selected, please specify reason:

If "Other" was selected, please specify reason:

Animal Hospital in Long Island City

24hr Emergency & Critical Care Center

Clients of Court Square Animal Hospital never pay any additional emergency fee when being seen at West Hills Animal Emergency & Critical Care Center for after hour emergencies.


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