Pet Adoption Release of Information – Macungie Animal Hospital Inc.

Pet Adoption Release of Information

Client Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Pet Name*
I, give my permission for Macungie Animal Hospital to disclose information on services they have provided for my pets to the following organizations:*
*
- I agree to release this information

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Contact

161 East Main St.,
Macungie, PA 18062

(610) 421-8381
portal@macungieanimalhospital.com

Hours

Monday & Thursday:
8:00 AM – 7:00 PM
Tuesday, Wednesday, Friday:
8:00 AM – 6:00 PM
Saturday:
8:00 AM – 2:00 PM

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