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

New Patient Form: Surgery

If your pet has an upcoming Surgical appointment with Dr. Mac Maxwell or Dr. Chase Atwood, 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.

Surgery Patient Admission Form

Please answer the following questions to the best of your knowledge. 

Current medications

If you are dropping off your pet for a routine suture removal, bandage change or recheck – the doctor will examine your pet. It is possible the doctor may not be available to speak with you at the time you pick up your pet due to scheduled appointments or surgery procedures.
If you are dropping your pet off for the day only and you wish to speak with the doctor at the time you pick up, please let the surgery nurse or surgery coordinator know and they can call you to schedule a time for you to meet with the doctor later in the day.
Pets rarely go home the same day they have surgery. Many calls are made after 6:00pm. We will call you after surgery, but if you have not heard from us by 5:30pm, feel free to call for an update

From Happy Pet Owners

  • “This facility and their staff are absolutely top notch! Not only are they EXTREMELY knowledgeable, but they are a class act! I would HIGHLY recommend them for ANY of your pets!”
    Shawn P.

901-624-9002