Powell Animal Hospital

Hours:  Mon-Fri 7:30 AM to 7:00 PM, Sat 9:00 AM to 5:00 PM

 

Saturday  grooming is now available with Master All Breed Professional Groomer April Cox-Sandlin. March 3rd, 17th and 31st. Call 865-938-1884 to schedule an appointment!

Get 3 free doses of Frontline when you purchase 6 doses! Presented by Merial and Powell Animal Hospital for a limited time only.

 

 

 

Form - Wellness Questionaire Form

Owner's Name (required)
First Name (required)
Last Name (required)
Phone number where you can be reached: (required)
Phone TypePhone Number (required)
Emergency Contact Number:
Phone TypePhone Number
Address (required)
Street Address (required)
City (required)
State/Province (required)
Zip/Postal Code (required)
,
Pet's Name (required)

At what time do you plan to pick up your pet? (required)

Is our pet indoors or outdoors? (required)
indoors only
outdoors only
sometimes indoors, sometimes outdoors


Is your pet every boarded or groomed? (required)
yes
no


Is your pet exposed to other animals, including dog parks and neighborhood walks? (required)
yes
no


Does your pet travel with you? (required)
yes
no


If your pet DOES travel with you, to what parts of the country do you go?

Is your pet exposed to any wildlife, including raccoons, opossums, rats, skunks, squirrel and deer?
yes
no


Is your pet ever exposed to water, including streams, lakes, rivers, or standing water in yards?
yes
no


Is there anything specific that you would like addressed with your pet?

How much may we spend on your pet's diagnosis and treatments prior to calling you?

Powell Animal Hospital Drop-off Policy:
Please note that we require all pets staying with us for the day to be current on vaccinations and to have had a negative fecal examination within the past 6 months. If your pet is due vaccinations, your pet will be vaccinated before treatments are performed. Additionally, your pet must be free from both external and internal parasites. If treatment for parasites is necessary, this will be performed at your expense.
Authorization:
By submitting this form, I authorize the doctors at Powell Animal Hospital to perform the diagnostics and treatments that they feel necessary up to the amount I listed above. I understand that if additional services are necessary, I will be contacted by a doctor so that we can discuss these procedures and their cost. If I cannot be reached, I give my permission for the doctors to perform any necessary emergency treatments that may be needed to stabilize a life-threatening condition. I agree to assume all financial responsibility for these treatments in the case of an emergency.
I have read the above statement, and I - (required)
agree
disagree



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