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

  • “Dr. Hillman, Dr. Miller, and all MVS staff are fantastic! They all have gone above and beyond for our precious Peteie! Thank you for all you do.”
    Brittany W.

(901) 624-9002