Free · Unbranded · Front desk & billing
A clean intake form for new clients: owner and emergency contacts, room for two pets, the previous clinic and a records-transfer authorization, reminder preferences, and the payment acknowledgment, all in one pass at the front desk.
Unbranded: no logo or linksNo account neededPrint at 100% on US LetterUpdated
What’s on the form
Name, co-owner, address, phones, email, and preferred contact method.
Someone who can make decisions if the owner can’t be reached, and whether they’re authorized to.
Name, species, breed, sex and neuter status, date of birth, color and markings, microchip, insurance, diet, current medications, and allergies.
The previous veterinary practice and an authorization to request records from them.
How the owner wants reminders, how they heard about you, and a payment-policy acknowledgment with signature.
Fill in online
Every line on the form is editable right here. When you’re done, print it or choose “Save as PDF” in the print dialog. Everything stays in your browser.
Click any line to type, or add your logo. Nothing is uploaded or saved.
Using it well
Email the PDF or a link to the fill-in version with the appointment confirmation. Clients fill it in at home and arrive ready.
The records-transfer box lets you request history before the first exam, not after it.
Edit the payment acknowledgment to match your actual policy. A signed policy prevents the most awkward conversations at checkout.
Printing, editing, and what the form does and doesn’t cover.
Owner contact details and preferences, an emergency contact, each pet’s signalment, medical history basics (medications, allergies, diet), the previous clinic, and consent to request records, plus your payment policy.
Yes. They can type into the form on this page and print it or save it as a PDF to email to you. Nothing is stored by VetStack.
No. It’s a starting point. Replace it with your practice’s actual policy before using the form.
Print the second page again for each additional pair of pets.
1 page, US Letter, portrait
A one-page authorization for sending a pet’s records to another clinic, a specialist, an insurer, or the owner. It spells out exactly which records go where, by what method, and for how long the authorization lasts.
1 page, US Letter, portrait
A one-page itemized estimate with low and high columns, totals, deposit, and an expiry date. Clients choose accept, decline, or a partial plan and sign, so the decision and the numbers are on the record together.
1 page, US Letter, portrait
A one-page vaccine history for a dog or cat: every vaccine with the product, lot number, next due date, and who gave it, plus a log for heartworm and parasite tests and prevention. Handy for boarding, groomers, daycare, and new vets.
A starting point, not legal or clinical advice. VetStack’s forms are general templates. Requirements for medical records, consent, and controlled substances vary by state and practice, so review the wording with your practice’s attorney and check your state veterinary board’s rules before adopting a form as standard.