Convenient Knoxville Location | call us today 865-315-8263 | Our Hours: Mon-Fri 8:00AM - 5:00PM

Convenient Knoxville Location | call us today 865-315-8263

Patient Recheck Form

Name*
First Last
Phone*
Email*
How do you prefer to be contacted?*
- Phone
- Text
- Email
Patient Information
Pet's Name*
Pet's age*
Breed*
Current weight (if known)
Name of Regular Veterinarian*
Date of Appointment*
MM slash DD slash YYYY
Reason for recheck*
Have there been any health changes with your pet since the last visit?*
- Yes
- No
Please explain*
Have any other diagnostics such as lab work or x-rays been performed since your pet’s last visit with us?*
- Yes
- No
please email any medical records or test results to contact@etvetus.com. Alternatively, you may also contact your regular veterinarian’s office to request that your pet’s records be emailed to us.
Current medications and supplements:*
Is there anything else you would like us to know about your pet?
If you would like to send us an image of your pet for the medical record, please upload it here.
Max. file size: 128 MB.
Payment Options
For your convenience, we accept all major credit cards (including the Care Credit Mastercard), cash, and personal checks. Please note we do not accept Care Credit (CapitalOne Financing) at this time. If assistance is needed with financial arrangements please contact us by phone or email.
Please note that you may need to fill out a captcha test before submitting the form. If you can’t submit the form, please scroll up to the top of the page and look for the captcha test.
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