Welcome to Knox Veterinary Surgery!

We’re glad you’re here. To help us get to know you and your pet, please take a few minutes to complete the form below. The information you share ensures we have everything we need to provide safe, high-quality surgical care tailored to your pet’s needs.

Fill out the form below to get started. Sharing a few details ahead of time helps us prepare for your visit and ensures we can focus on what matters most, caring for your pet.

New Client Form

Client's Information

Name
Name
First Name
Last Name
Address
Address
City
State/Province
Zip/Postal

Patient's Information

Current Issue/Injury

Past History

Procedure Acknowledgement

I hereby authorize Knox Veterinary Surgery to examine, prescribe for, treat, and/or perform surgery on my pet. I also consent to the administration of such anesthetics as are necessary.

If medical records for my pet are needed from another veterinarian or veterinary facility, I authorize Knox Veterinary Surgery to obtain them on my behalf and have them transferred so that my pet’s medical records are complete.

I understand that the surgeon(s) at Knox Veterinary Surgery are working with my pet’s current veterinary team and the above procedure will be performed at their facility.

For my pet’s procedure to be successful, I understand the importance of following the provided after-care instructions. These instructions will be provided to me and can include a combination of written, oral, and digital (email/website) form. If I have questions regarding after-care instructions, I will NOT hesitate to ask.