555 Trinity Creek Cove, Cordova, TN 38018 US
901-624-9002

Admission Form: Oncology

If your pet has an upcoming Oncology appointment with Dr. Lorin Hillman, please complete the specialty form using one of the options below. 

OPTION 1
Complete Online

Complete and submit the form below.

OPTION 2
Print & Complete

Bring the completed form with you.

Download PDF

OPTION 3
Complete on Arrival

If you prefer, you can complete the form when you get to our hospital.

Oncology Patient Admission Information

I, the undersigned, take responsibility for the patient above-named and hereby authorize Memphis Veterinary Specialists, LLC to administer such treatment as is necessary and is considered therapeutically and/or diagnostically necessary in the patient’s ongoing treatment. I understand that during the performance of the procedures or treatments that unforeseen conditions may be revealed that necessitate additions or changes in the scheduled procedures or treatment. Therefore, I hereby consent to and authorize the performance of such procedures or treatments as are necessary and desirable in the exercise of the veterinarian’s professional judgment. I also authorize the use of appropriate anesthetics and other medications. I understand that hospital support staff will be employed as deemed necessary by the veterinarian. I have been advised as to the nature of the treatments and the risks involved. I realize that there are risks associated with anesthesia, and risks associated with medical procedures and treatments, including the administration of chemotherapy agents. I realize that the desired effects may not be achieved and that results cannot be guaranteed. I have read and understand this authorization and consent.
By submitting this form, I agree to the above.

From Happy Pet Owners

  • “Forever thankful to kind, sweet, gentle, wonderful Dr. Tina Brown. Our 3 year old girl has been sick for months, but after one month she is back to feeling her happy, playful self again. It feels wonderful to have such an excellent support system in place when I need help.”
    Dale C.

901-624-9002