Client Information
Welcome to Knoxville Animal Clinic! We are so happy you have chosen us to be the home for your pet's medical care! Please take a few moments to complete the following information to help us better serve your.
All new clients need to authorize release of medical records from previous veterinary care providers. If you do not authorize KAC to contact your previous care providers, you will need to obtain the records directly and email them to info@knoxvilleanimalclinic.com at least 72 hours prior to your appointment. Please note, some veterinary clinics will require you to complete an authorization form directly from them. 

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By checking this box, I authorize Knoxville Animal Clinic to contact my previous care providers for complete medical records.
Date *
MM
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DD
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YYYY
First and Last Name *
Spouse/Partner/Authorized Agent Name(if applicable)
Primary Mobile Phone Number *
Secondary Spouse/Partner Phone Number
Landline Home Phone Number(if applicable)
Street Address *
Apartment Number
City *
State *
Zip Code *
Email Address *
Privacy
We do not share your email address with outside parties. Your email address will be used to email you your pet’s health reminders via Pet Desk. By providing your email address, you will be able to access your pet’s records, view reminders, make appointments, and send email messages to veterinarians and staff through Pet Desk.

To download our Knoxville Animal Clinic PetDesk App click here.
Place of Employment
Work Phone Number
Please list your pets' names, species, age, and breed: *
How did you hear about us?
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